Organization Active NPI

Kingdom Living Solutions

  • Social Worker
  • Eastpointe, MI
National Provider Identifier
1457194128
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
KINGDOM LIVING SOLUTIONS
Practice address
17325 Stricker Ave
Eastpointe, MI 48021-3103
Phone
(313) 806-3622
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Mr. Denzel Raines
Title
Owner
Phone
(313) 806-3622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

17325 Stricker Ave
Eastpointe, MI 48021-3103

Mailing address

17325 Stricker Ave
Eastpointe, MI 48021-3103
Phone (313) 806-3622

National Provider Directory

National Provider Directory

Locations

1805 Franklin St
Detroit, MI 48207
Phone (313) 806-3622

21657 Melrose Ave
Bldg T
Southfield, MI 48075
Phone (248) 653-0636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1457194128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 STRICKER AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213103",
            "telephone_number": "313-806-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 STRICKER AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213103",
            "telephone_number": "313-806-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM LIVING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "DENZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-806-3622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.