King of Kings Home Health Care Service, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

355568 Issued in MN

Legal business name

KING OF KINGS HOME HEALTH CARE SERVICE, LLC

Practice address

200 3Rd St S
Suite 200
Stillwater, MN 55082-4903

Phone

(651) 329-4047

Fax

(651) 351-0503

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Barry William McKee Jr.

Title

Ceo

Phone

(651) 329-4047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1487913679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 3RD ST S",
            "address_2": "SUITE 200",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824903",
            "telephone_number": "651-329-4047",
            "fax_number": "651-351-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 3RD ST S",
            "address_2": "SUITE 200",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824903",
            "telephone_number": "651-329-4047",
            "fax_number": "651-351-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF KINGS HOME HEALTH CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-329-4047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "355568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kennebeck, M.S., CCC-SLP
• Rachel Maya Kessler, MSW, LICSW
• Ethin Stanlee Kiekhafer, OD
• Rhonda J Kimler, PT, CRP
• Tamara Kincaid, LICSW
• Sarah Grace Kirvida, OTR/L
• KJ Counseling LLC
• Brooke Elyssa Klaphake, PT, DPT
• Crystal Klarich, LICSW
• Susan Catherine Klecker

• Home Health Agency in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.