NPIMap

Organization Active NPI

King of Kings Men'S Recovery Home

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1710247762
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
100024AN Issued in CA
Legal business name
KING OF KINGS MEN'S RECOVERY HOME
Practice address
2267 S Geneva Ave
Fresno, CA 93706-4326
Phone
(559) 266-6449
Fax
(559) 266-1532
NPI assigned
May 24, 2012
Organization subpart
Yes
Parent organization
KING OF KINGS COMMUNITY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Mr. Robert Singleton, CAS I
Title
Executive Director
Phone
(559) 442-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 100024AN CA Primary

Addresses

Primary practice location

2267 S Geneva Ave
Fresno, CA 93706-4326

Mailing address

2267 S Geneva Ave
Fresno, CA 93706-4326
Phone (559) 266-6449

National Provider Directory

National Provider Directory
Tax ID family
King of Kings Outpatient and Perinatal Services Program4 organizations share this tax ID, including this one
Part of
King of Kings Outpatient and Perinatal Services Program

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2267 S Geneva Ave
Fresno, CA 93706
Phone (559) 266-6449

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1710247762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 S GENEVA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937064326",
            "telephone_number": "559-266-6449",
            "fax_number": "559-266-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 S GENEVA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937064326",
            "telephone_number": "559-266-6449",
            "fax_number": "559-266-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF KINGS MEN'S RECOVERY HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KING OF KINGS COMMUNITY CENTER",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-442-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAS I"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "100024AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.