Organization Active NPI

Kingdom Family Healthcare

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1881003846
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINGDOM FAMILY HEALTHCARE
Practice address
5110 Azalea Trace Dr Apt 1411
Houston, TX 77066-4344
Phone
(336) 693-3799
NPI assigned
Aug 4, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Jamael Graves
Title
Owner
Phone
(336) 693-3799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5110 Azalea Trace Dr Apt 1411
Houston, TX 77066-4344

Mailing address

5110 Azalea Trace Dr Apt 1411
Houston, TX 77066-4344
Phone (336) 693-3799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1881003846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 AZALEA TRACE DR APT 1411",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770664344",
            "telephone_number": "336-693-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 AZALEA TRACE DR APT 1411",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770664344",
            "telephone_number": "336-693-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JAMAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-693-3799"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.