Organization Active NPI

Kingdom Partners Connections LLC

  • Developmental Disabilities Clinic/Center
  • Haines City, FL
National Provider Identifier
1659840411
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
KINGDOM PARTNERS CONNECTIONS LLC
Practice address
1920 Verano Dr Ste 205
Haines City, FL 33844-8585
Phone
(888) 328-0004
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Victoria WrightNPI 1619468741
Title
Owner
Phone
(352) 702-5611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1920 Verano Dr Ste 205
Haines City, FL 33844-8585

Mailing address

PO Box 138081
Clermont, FL 34713-8081
Phone (888) 328-0004

National Provider Directory

National Provider Directory

Locations

1920 Verano Dr
Ste 205
Haines City, FL 33844
Phone (888) 328-0004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1659840411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138081",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347138081",
            "telephone_number": "888-328-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 VERANO DR STE 205",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448585",
            "telephone_number": "888-328-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM PARTNERS CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-702-5611"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.