Kingdom Kares Health and Wellness Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KINGDOM KARES HEALTH AND WELLNESS SERVICES, LLC

Doing business as

Kingdom Kares Health and Wellness Services, LLC

Practice address

3160 Highway 21 Ste 103
Fort Mill, SC 29715-8888

Phone

(704) 249-4709

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Sonya N. Simon

Title

Owner

Phone

(704) 249-4709

Specialties & licenses 5

Addresses

Other names 1

• Kingdom Kares Health and Wellness Services, LLC Doing business as

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1477380418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 HIGHWAY 21 STE 103",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158888",
            "telephone_number": "704-249-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 HIGHWAY 21 STE 103",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158888",
            "telephone_number": "704-249-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM KARES HEALTH AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-249-4709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingdom Kares Health and Wellness Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keenya Kimbrell, LPN
• Paige Hutson Kinder, OT
• Carolyn Politi King
• Caylee King, LPCA, LCMHCA, NCC
• Garrett King, DPT
• Mildred Anne Kinghorn, M.D.
• Katherine Kirsch
• Korie Kisamore, COTA
• Jennifer Kitchton, CPM, LM
• Patrick Richard Klaus, DC

• Community/Behavioral Health Agency in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.