Kingdom Healthcare Management

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4263 Issued in NC

Legal business name

KINGDOM HEALTHCARE MANAGEMENT

Practice address

106 Broughton St
Garner, NC 27529-3006

Phone

(919) 772-3346

Fax

(919) 975-2118

NPI assigned

Jan 24, 2011

Last updated

Jan 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Kamunga MesuNPI 1184928814

Title

Owner

Phone

(919) 772-3346

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Kamunga Mesu

  • Home Health Aide
  • Garner, NC
  • NPI 1184928814
  NPD (past) Authorized official

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1760787659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BROUGHTON ST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293006",
            "telephone_number": "919-772-3346",
            "fax_number": "919-975-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BROUGHTON ST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293006",
            "telephone_number": "919-772-3346",
            "fax_number": "919-975-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HEALTHCARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "MESU",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KAMUNGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-772-3346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camerin Claudette Kimble
• Derrick Brian Kimrey
• Connie King-Jerome, MSW,LCSW-A
• Dylan King, PHARMD
• Joanna King
• Perry J Kirch, DC
• Gary John Kirkegaard, PHARM. D.
• Jill Ellen Kirol, M.S. P.T.
• Julia Kleiber
• Susan Madeline Komen, MPH, RDN

• In Home Supportive Care Agency in Garner, NC
• Providers in Garner, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.