Organization Active NPI

Kingdom Homes

  • Foster Care Agency
  • Stoughton, MA
National Provider Identifier
1669191417
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
KINGDOM HOMES
Doing business as
Kingdom Homes
Practice address
1256 Park St
Stoughton, MA 02072-3745
Phone
(508) 840-2678
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Mrs. Elisangela Mendes Cunha-Afonso, RNNPI 1215664503
Title
Ceo/Owner
Phone
(508) 840-2678

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
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

1256 Park St
Stoughton, MA 02072-3745

Mailing address

69 Fairview Ave
Brockton, MA 02301-2903
Phone (508) 840-2678

Other names 1

  • Kingdom Homes Doing business as

National Provider Directory

National Provider Directory

Locations

1256 Park St
Stoughton, MA 02072
Phone (781) 341-6000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1669191417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 FAIRVIEW AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012903",
            "telephone_number": "508-840-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 PARK ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723745",
            "telephone_number": "508-840-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CUNHA-AFONSO",
        "authorized_official_first_name": "ELISANGELA",
        "authorized_official_middle_name": "MENDES",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "508-840-2678",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingdom Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.