Kings Adult Family Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KINGS ADULT FAMILY HOME LLC

Practice address

5920 N 20 71St St
Single
Milwaukee, WI 53218

Phone

(414) 975-0920

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Miranda Marie Porter

Title

Owner

Phone

(414) 915-3018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1356119283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 N 20 71ST ST",
            "address_2": "SINGLE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "414-975-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 N 20 71ST ST",
            "address_2": "SINGLE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "414-975-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-915-3018"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingdom Care Corporation
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• Kingly Community Resource Center
• Kristin Kingma
• Kings Academy
• Patricia Ann Kingsbery, ANP
• Kenneth R Kingsby, M.S
• Latrina Kingsby, RN
• Kingsmen Youth Services Inc
• Kingsway Transportations LLC

• Assisted Living Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.