Kingdom Care Associates, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

KINGDOM CARE ASSOCIATES, LLC

Practice address

3630 Western Branch Blvd
Portsmouth, VA 23707-2534

Phone

(757) 319-3662

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Patrece Scott

Title

Owner

Phone

(757) 319-3662

Specialties & licenses 1

Addresses

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.

• Kingdom Care Associates, LLC

  • Exclusive Provider Organization
  • Portsmouth, VA
  • NPI 1770846800
  NPD tax ID

Locations

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1821687096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 CARSON CRES E",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013111",
            "telephone_number": "757-319-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 WESTERN BRANCH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072534",
            "telephone_number": "757-319-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PATRECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-319-3662"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles King, D.O.
• Nell Fearing King
• Renee King, PA-C
• Sarah Elizabeth King
• Kingdom Care Associates, LLC
• Anne Kingsada, CNM
• Kingsley Lane Clinical Laboratory Associates, PLLC
• Kingsley Lane Pathology Associates PC
• Johnathan Paul Kinzer, MD
• Gretchen Elizabeth Kirk, PHD

• Exclusive Provider Organization in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Exclusive Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.