Organization Active NPI

Kyngdom Services LLC

  • Home Health Aide
  • Orlando, FL
National Provider Identifier
1790103174
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
KYNGDOM SERVICES LLC
Practice address
750 S Orange Blossom TRL
227
Orlando, FL 32805-3118
Phone
(407) 674-8988
Fax
(407) 674-8992
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Michelle RiversNPI 1548675051
Title
Owner
Phone
(407) 674-8988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

750 S Orange Blossom TRL
227
Orlando, FL 32805-3118

Mailing address

750 S Orange Blossom TRL
227
Orlando, FL 32805-3118
Phone (407) 674-8988

Other identifiers 1

IdentifierTypeStateIssuer
003575300MedicaidFL

National Provider Directory

National Provider Directory

Locations

750 S Orange Blossom Trl
Ste 227
Orlando, FL 32805
Phone (407) 276-3685

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1790103174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL",
            "address_2": "227",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053118",
            "telephone_number": "407-674-8988",
            "fax_number": "407-674-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL",
            "address_2": "227",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053118",
            "telephone_number": "407-674-8988",
            "fax_number": "407-674-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYNGDOM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-674-8988"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003575300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.