Kings & Queens Youth Program

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KINGS & QUEENS YOUTH PROGRAM

Practice address

430 Nebraska Ave
Toledo, OH 43604-8540

Phone

(419) 671-5400

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana J Jacobs, MSCJ, QMHS, CDCANPI 1174013361

Title

Founder

Phone

(419) 206-9023

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana Jacobs, CDCA

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1174013361
  NPD Authorized official

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1538641568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 EXECUTIVE PKWY STE 7-189",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061379",
            "telephone_number": "419-206-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NEBRASKA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436048540",
            "telephone_number": "419-671-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS & QUEENS YOUTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "419-206-9023",
        "authorized_official_credential": "MSCJ, QMHS, CDCA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherika Lynette King
• Tamika J King
• Thomas King, OTR/L
• Traci King, NP
• Tyara King
• Kings Towers LLC
• Brooke Kingsbury
• Kingston Care Partners, LLC
• Vishwas Kini, M.D
• Joyce Kinker Johnson, MA CCCA

• Case Management Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.