Organization Active NPI

Kingdom Home Care LLC

  • Home Health Agency
  • Kansas City, MO
National Provider Identifier
1639786700
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINGDOM HOME CARE LLC
Practice address
107 W 9TH St
Kansas City, MO 64105-1705
Phone
(816) 610-1753
Fax
(816) 222-0508
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Safa Salah
Title
Owner
Phone
(816) 610-1753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

107 W 9TH St
Kansas City, MO 64105-1705

Mailing address

107 W 9TH St
Kansas City, MO 64105-1705
Phone (816) 610-1753

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1639786700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 9TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051705",
            "telephone_number": "816-610-1753",
            "fax_number": "816-222-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 9TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051705",
            "telephone_number": "816-610-1753",
            "fax_number": "816-222-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SALAH",
        "authorized_official_first_name": "SAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-610-1753"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.