Active NPI
Kingdom Investors, LLC
- Assisted Living Facility
- Canonsburg, PA
National Provider Identifier
1861635294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 402380
- Legal business name
- KINGDOM INVESTORS, LLC
- Practice address
- 119 Greenside Ave
Canonsburg, PA 15317-1335 - Phone
- (724) 746-3233
- Fax
- (724) 746-3233
- NPI assigned
- Apr 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn Burns
- Title
- Owner
- Phone
- (724) 746-3233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 402380 | PA | Primary |
Addresses
Primary practice location
119 Greenside Ave
Canonsburg, PA 15317-1335
Mailing address
119 Greenside Ave
Canonsburg, PA 15317-1335
Phone (724) 746-3233
Other names 1
- Kingdom Manor
National Provider Directory
National Provider DirectoryLocations
119 Greenside Ave
Canonsburg, PA 15317
Phone (724) 514-6592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239753600000",
"number": "1861635294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 GREENSIDE AVE",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153171335",
"telephone_number": "724-746-3233",
"fax_number": "724-746-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 GREENSIDE AVE",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153171335",
"telephone_number": "724-746-3233",
"fax_number": "724-746-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGDOM INVESTORS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-15",
"last_updated": "2009-04-15",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-746-3233",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "402380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kingdom Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.