King Premier Care Service, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KING PREMIER CARE SERVICE, LLC

Practice address

2169 Wintermere Pointe Dr
Winter Garden, FL 34787-5439

Phone

(407) 592-0630

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Frankie Solomon

Title

President

Phone

(407) 592-0630

Specialties & licenses 2

Addresses

Other names 1

• King Premier Care Service, LLC Doing business as

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1619643350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 WINTERMERE POINTE DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875439",
            "telephone_number": "407-592-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 WINTERMERE POINTE DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875439",
            "telephone_number": "407-592-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PREMIER CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-592-0630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Premier Care Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "King Premier Care Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.