Kingdom Care Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

KINGDOM CARE TRANSPORTATION LLC

Practice address

3621 Millers Glen LN Apt 106
Henrico, VA 23231-2365

Phone

(804) 501-9456

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Staci Nikol Fuller

Title

Administrator

Phone

(804) 501-9456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1407367998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 MILLERS GLEN LN APT 106",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232312365",
            "telephone_number": "804-501-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 MILLERS GLEN LN APT 106",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232312365",
            "telephone_number": "804-501-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "NIKOL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-501-9456",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Henrico, VA
• Providers in Henrico, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.