King Johnson Personal Care Services LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

KING JOHNSON PERSONAL CARE SERVICES LLC

Doing business as

Personal Care

Practice address

48 Bowdoin Ave
South Portland, ME 04106-5605

Phone

(682) 812-4249

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

King Johnson Gilungu, OWNER

Title

Ceo

Phone

(682) 812-4249

Specialties & licenses 1

Addresses

Other names 1

• Personal Care Doing business as

Locations

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1508642299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BOWDOIN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065605",
            "telephone_number": "682-812-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BOWDOIN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065605",
            "telephone_number": "682-812-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING JOHNSON PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "GILUNGU",
        "authorized_official_first_name": "KING JOHNSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-812-4249",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mijung Kim
• Sarah Richards Kim, M.D.
• Jackbarry Kimball
• Tyler Kimbar
• King and Lord Care 'KLC' LLC
• Caitlyn King-Khashroom
• Erin King, LCSW, APHSW-C
• Karyn Renee Aleta King, M.D.
• Samantha King, MA, LCMHC
• Candance Kingsley, MSW

• Home Health Aide in South Portland, ME
• Providers in South Portland, ME by specialty
• Home Health Aide in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.