Kingdom Hearts in-Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINGDOM HEARTS IN-HOME LLC

Practice address

320 Brookes Dr Ste 203
Hazelwood, MO 63042-2740

Phone

(314) 680-1976

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Maury Clay

Title

Director

Phone

(314) 680-1976

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1710274089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 203",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422740",
            "telephone_number": "314-680-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 203",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422740",
            "telephone_number": "314-680-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HEARTS IN-HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "MAURY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-680-1976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Jeonghoon Kim, MD
• Maria Wong Kim, D.M.D.
• Kindred Connections Nemt Services, LLC
• Donna Renae King, MA, LPC
• Shawn A King
• Kathleen A Kleinschmidt, MS-CCC-SLP
• Richard D Knight, MD
• Shirley M Knight, M.D.
• Christy Kobernus
• Jerome Ernst Kock, D.C.

• Home Health Agency in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.