King Ministriez

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KING MINISTRIEZ

Practice address

3819 Happy Canyon Dr
Dallas, TX 75241-5230

Phone

(978) 962-9754

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Freddie JacksonNPI 1881437986

Title

Ceo

Phone

(978) 962-9754

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Freddie Jackson

  • Home Health Agency
  • Dallas, TX
  • NPI 1881437986
  NPD Authorized official

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1720821820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 SIMPSON STUART RD UNIT 41324",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752414346",
            "telephone_number": "978-962-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 HAPPY CANYON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752415230",
            "telephone_number": "978-962-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING MINISTRIEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-962-9754"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinematics and Prosthetics Rehabilitation Institute LLC
• McCain Kinerd
• David Wayne Kines, RN MSN FNPC
• King Dental Partners PLLC
• King Medical Group PA
• King Vision of Fort Worth LLC
• Lacinder Roseann King-Fulton, PROGRAM DIRECTOR
• Michelle Denise King-Thompson, LCSW
• Abigail Faith King
• Ada Marie King

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.