Kyngdom Services TCM LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KYNGDOM SERVICES TCM LLC

Practice address

750 S Orange Blossom TRL Ste 226
Orlando, FL 32805-3195

Phone

(407) 674-8988

NPI assigned

Sep 12, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle E Rivers

Title

Owner

Phone

(407) 674-8988

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1346641024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 226",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053195",
            "telephone_number": "407-674-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 226",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053195",
            "telephone_number": "407-674-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYNGDOM SERVICES TCM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-674-8988"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Kwon, MD
• Ye Wint Kyaw, MD
• Kyle M. Crofoot, M.D., P.a.
• Breerin Nicole Kyle, FNP
• Kyngdom Services LLC
• Darya Kyrylina, APRN
• Janine Marie Kyte, ARNP
• L & L Cares Inc
• L and L Care Services
• L&L Healthy Products LLC

• Community/Behavioral Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.