Kings Personal Kare Facility GRP LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINGS PERSONAL KARE FACILITY GRP LLC

Practice address

111 Elizabeth Way
Ellenwood, GA 30294-2820

Phone

(678) 869-5464

Fax

(678) 583-1496

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Spears

Title

Executive Director

Phone

(678) 472-3015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1811238306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELIZABETH WAY",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942820",
            "telephone_number": "678-869-5464",
            "fax_number": "678-583-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELIZABETH WAY",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942820",
            "telephone_number": "678-869-5464",
            "fax_number": "678-583-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS PERSONAL KARE FACILITY GRP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-472-3015",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Kendrick, PTA
• Ket Cares & Education LLC
• Khrysalis Empowerment Inc.
• Opeyemi Gloria Kilanko
• Kimberly Norris, OT, Inc.
• Ella Dozier Kirt, RPH
• Regenia Kiser
• Deborah Knighten
• Kizmet Elsa Knox
• Rose Senge Kombe, FNP-C

• Home Health Agency in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.