Kings Group Home for Children, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL092550 Issued in NC

Legal business name

KINGS GROUP HOME FOR CHILDREN, INC.

Practice address

109 Evening Star Dr
Apex, NC 27502-4029

Phone

(919) 303-5002

Fax

(919) 363-5655

NPI assigned

Feb 5, 2007

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Victor King

Title

Owner

Phone

(919) 303-5002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1841339017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 EVENING STAR DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024029",
            "telephone_number": "919-303-5002",
            "fax_number": "919-363-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EVENING STAR DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024029",
            "telephone_number": "919-303-5002",
            "fax_number": "919-363-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS GROUP HOME FOR CHILDREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-303-5002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL092550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Kimin Kim, PT
• Stefanie Johnson Kincaid, M.ED, NCC, LPCA
• Justin Kindrick, N.P.
• Donna Usher King, D.C., C.C.S.P.
• Rachel King, MS, CCC-SLP
• Hannah Leshin Kirkman, PT
• Megan Alexandra Kirkman, DPT, PT
• Maxwell Xavier Kirn, MSW, LCSWA
• Emily Kathleen Kirschler, PHARMD
• Melissa Kisicki, RN

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Apex, NC
• Providers in Apex, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.