Kingsland Care Services Incorporated

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KINGSLAND CARE SERVICES INCORPORATED

Practice address

2301 Rice Street
Suite 101
Roseville, MN 55113

Phone

(651) 262-2540

Fax

(651) 493-8895

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Albert Aboudem Atemkeng, BSW, MSW, LGSWNPI 1730885492

Title

Chief Executive Office

Phone

(651) 500-9053

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Albert Aboudem Atemkeng, LGSW, LICSW

  • Clinical Social Worker
  • Cottage Grove, MN
  • NPI 1730885492
  NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1841705118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RICE STREET",
            "address_2": "SUITE 101",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-262-2540",
            "fax_number": "651-493-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RICE STREET",
            "address_2": "SUITE 101",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-262-2540",
            "fax_number": "651-493-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLAND CARE SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ATEMKENG",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "ABOUDEM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "651-500-9053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSW, MSW, LGSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A707458100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belle P Khuu, PHD, LICSW
• Angela Lynn Kieffer, PMHNP
• Julia Marie Kiernan, MD
• Yordanos Kiflu-Martin, MA, LMFT
• Kingdom Health Systems and Solutions LLC
• Maureen Kirimi Ndegwa, RN
• Kirsten MJ Marsh Ma LMFT LLC
• Kismo Transportation LLC
• Mary Lynn Kittelson, LP, JUNGIAN ANALYST
• Kyle Aaron Kitzman, MD

• Case Management Agency in Roseville, MN
• Providers in Roseville, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.