NPIMap

Organization Active NPI

Kingdom Care Associates, LLC

  • Exclusive Provider Organization
  • Portsmouth, VA
National Provider Identifier
1770846800
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
302F001 Issued in VA
Legal business name
KINGDOM CARE ASSOCIATES, LLC
Practice address
23 Carver Circle
Portsmouth, VA 23701
Phone
(757) 319-3662
NPI assigned
Jun 22, 2012
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Patrece Scott
Title
LLC Member/Owner
Phone
(757) 319-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 302F001 VA Primary

Addresses

Primary practice location

23 Carver Circle
Portsmouth, VA 23701

Mailing address

1517 Carson Cres. East
Portsmouth, VA 23701
Phone (757) 319-3662

National Provider Directory

National Provider Directory
Tax ID family
Kingdom Care Associates 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": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1770846800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 CARSON CRES. EAST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23701",
            "telephone_number": "757-319-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CARVER CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23701",
            "telephone_number": "757-319-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PATRECE",
        "authorized_official_title_or_position": "LLC MEMBER/OWNER",
        "authorized_official_telephone_number": "757-319-3662"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "302F001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.