Loriquen Holdings Dba Kinkistry

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LORIQUEN HOLDINGS DBA KINKISTRY

Practice address

5623 Vinings Place TRL
Mableton, GA 30126-5681

Phone

(404) 416-3818

NPI assigned

Oct 15, 2021

Organization subpart

Yes

Parent organization

LORIQUEN HOLDINGSAs reported in NPPES

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

Authorized official

Name

Angela Fite

Title

Owner

Phone

(404) 416-3818

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Part of

Loriquen Holdings Dba Kinkistry

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1902569023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 VININGS PLACE TRL",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265681",
            "telephone_number": "404-416-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 VININGS PLACE TRL",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265681",
            "telephone_number": "404-416-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIQUEN HOLDINGS DBA KINKISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LORIQUEN HOLDINGS",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "FITE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-416-3818"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "123456",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kinkisty.com",
            "affiliation": "N",
            "endpointDescription": "www.kinkisty.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5623 Vinings Place Trl",
            "city": "Mableton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301265681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christie Cheeyoung Oh Lo, GNP
• Danielle Denise Long
• Thomas Long
• Toni Long, LPC
• Luis Felipe Lopez, FNP-C
• Nyla A Lotus, FNP
• Love Is Life Healthcare & Wellness
• Lovefahhaair
• Loving Care Family Services, LLC
• Lovingu Personal Care LLC

• Durable Medical Equipment & Medical Supplies in Mableton, GA
• Providers in Mableton, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.