Organization Active NPI

King Circle of Care

  • Case Management Agency
  • Pompano Beach, FL
National Provider Identifier
1649065129
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KING CIRCLE OF CARE
Practice address
4701 N Federal Hwy Ste 460
Pompano Beach, FL 33064-6591
Phone
(267) 574-2457
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Nikeda Stanback, BCBA
Title
Owner
Phone
(267) 574-2457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4701 N Federal Hwy Ste 460
Pompano Beach, FL 33064-6591

Mailing address

401 SW 1St Ave Apt 2406
Fort Lauderdale, FL 33301-4546

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1649065129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW 1ST AVE APT 2406",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 460",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646591",
            "telephone_number": "267-574-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CIRCLE OF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "STANBACK",
        "authorized_official_first_name": "NIKEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-574-2457",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.