NPIMap

Organization Active NPI

Kingdom'S Care on the Lake

  • Home Health Agency
  • Euclid, OH
National Provider Identifier
1811457765
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINGDOM'S CARE ON THE LAKE
Practice address
25325 Chatworth Dr
Euclid, OH 44117-1839
Phone
(216) 688-8210
NPI assigned
Mar 25, 2019
Organization subpart
Yes
Parent organization
KINGDOM'S CARE ON THE LAKEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Candiance LeeNPI 1033802491
Title
Owner
Phone
(216) 688-8210

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25325 Chatworth Dr
Euclid, OH 44117-1839

Mailing address

25325 Chatworth Dr
Euclid, OH 44117-1839
Phone (216) 688-8210

National Provider Directory

National Provider Directory
Part of
Kingdom'S Care on the Lake

Practitioners & affiliated clinicians

Practitioners 1

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": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1811457765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25325 CHATWORTH DR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171839",
            "telephone_number": "216-688-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 CHATWORTH DR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171839",
            "telephone_number": "216-688-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM'S CARE ON THE LAKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGDOM'S CARE ON THE LAKE",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CANDIANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-688-8210"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.