Organization Active NPI

Kingdom Builders Services, LLC

  • Community/Behavioral Health Agency
  • Chandler, AZ
National Provider Identifier
1740500628
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KINGDOM BUILDERS SERVICES, LLC
Practice address
335 N Alma School Rd Ste a
Chandler, AZ 85224-4363
Phone
(480) 659-9201
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Ms. Grisselle Ivette Simpson, REVEREND
Title
Executive Director
Phone
(623) 398-4303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

335 N Alma School Rd Ste a
Chandler, AZ 85224-4363

Mailing address

8111 W Wacker Rd
Unit 63
Peoria, AZ 85381-4939
Phone (480) 659-9201

Other names 1

  • GRISSELLE SIMPSON Other name

National Provider Directory

National Provider Directory

Locations

335 N Alma School Rd
Ste A
Chandler, AZ 85224
Phone (480) 659-9201

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1740500628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 W WACKER RD",
            "address_2": "UNIT 63",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814939",
            "telephone_number": "480-659-9201",
            "fax_number": "480-659-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N ALMA SCHOOL RD STE A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244363",
            "telephone_number": "480-659-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM BUILDERS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "GRISSELLE",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "623-398-4303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REVEREND"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRISSELLE SIMPSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.