Kingdom Rehabilatation Group

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINGDOM REHABILATATION GROUP

Practice address

2000 Town Ctr
1900
Southfield, MI 48075-1135

Phone

(248) 633-8511

Fax

(313) 864-7701

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Dorenea Byrd

Title

Cheif Executive Officer

Phone

(248) 633-8511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1386062586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TOWN CTR",
            "address_2": "1900",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751135",
            "telephone_number": "248-633-8511",
            "fax_number": "313-864-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TOWN CTR",
            "address_2": "1900",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751135",
            "telephone_number": "248-633-8511",
            "fax_number": "313-864-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM REHABILATATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DORENEA",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-633-8511"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J King, LMSW
• Keira Janeen King, RN
• Leah King
• Tiarra King
• Viola King, LLPC
• Michael Chris Kingsley Jr., PTA
• Vijaya Aroor Kinni, MD
• Anna Kirchoff
• Alazia Kirk
• Christina Ezell Kirkwood, APRN, FNP-BC

• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.