Organization Active NPI

Kingzkid Health Services LLC

  • Nurse's Aide
  • Chicago, IL
National Provider Identifier
1730857541
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
KINGZKID HEALTH SERVICES LLC
Practice address
1801 W Touhy Ave Unit C
Chicago, IL 60626-2335
Phone
(773) 653-6237
NPI assigned
Sep 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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

Authorized official

Name
Oluyemi Ogunsanya
Title
Administrator
Phone
(773) 653-6237

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

1801 W Touhy Ave Unit C
Chicago, IL 60626-2335

Mailing address

1801 W Touhy Ave Unit C
Chicago, IL 60626-2335
Phone (773) 653-6237

Other identifiers 1

IdentifierTypeStateIssuer
O25265481172MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL chicago Other

National Provider Directory

National Provider Directory
Tax ID family
Kingzkid Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1730857541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W TOUHY AVE UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262335",
            "telephone_number": "773-653-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TOUHY AVE UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262335",
            "telephone_number": "773-653-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGZKID HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "OGUNSANYA",
        "authorized_official_first_name": "OLUYEMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-653-6237"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O25265481172",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chicago",
            "affiliation": "N",
            "endpointDescription": "Kingzkid",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "chicago",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "chicago",
            "address_1": "1801 W Touhy Ave Unit C",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606262335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.