Kingdom 1St Health Amd Human Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINGDOM 1ST HEALTH AMD HUMAN SERVICES

Practice address

8733 W Sheridan St
Phoenix, AZ 85037-3658

Phone

(623) 216-9620

NPI assigned

Jun 21, 2019

Organization subpart

No

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

Authorized official

Name

Miss Shirley Llorraine Temple, NURSE PRACTITIONER

Title

President

Phone

(623) 216-9620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1790346633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 W SHERIDAN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373658",
            "telephone_number": "623-216-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 W SHERIDAN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373658",
            "telephone_number": "623-216-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM 1ST HEALTH AMD HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "LLORRAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-216-9620",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler King, MD
• Tyler Robert King, DMD
• Wayne King, LPC0012
• King's Counseling Services
• King's Heart Community Health & Wellness
• Kingdom Connect Group Home, LLC
• Mary Kingery, LIAC
• Mary Kingori
• Haley Christine Kingsbury, RBT
• Bruce P Kingsley, MD

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.