Organization Active NPI

Kingdom Investors, LLC

  • Assisted Living Facility
  • Canonsburg, PA
National Provider Identifier
1861635294
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
402380 Issued in PA
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

Updated by the provider on Apr 15, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.