Active NPI
Kingzkid Health Services LLC
- Nurse's Aide
- Chicago, IL
National Provider Identifier
1730857541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O25265481172 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | chicago | Other |
National Provider Directory
National Provider Directory- Tax ID family
- Kingzkid Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Chicago, IL
- NPI 1902470610
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.