Active NPI
New Kingdom Living Foundation Care
- Home Health Agency
- Davenport, FL
National Provider Identifier
1902604457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NEW KINGDOM LIVING FOUNDATION CARE
- Practice address
- 1819 Brentwood CT
Davenport, FL 33837-1795 - Phone
- (267) 774-1625
- NPI assigned
- Mar 3, 2025
- 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
- Jasmine Wardlaw
- Title
- Ceo
- Phone
- (321) 443-6351
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1819 Brentwood CT
Davenport, FL 33837-1795
Mailing address
1819 Brentwood CT
Davenport, FL 33837-1795
Phone (267) 774-1625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117405600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Poinciana, FL
- NPI 1699413963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1902604457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 BRENTWOOD CT",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338371795",
"telephone_number": "267-774-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 BRENTWOOD CT",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338371795",
"telephone_number": "267-774-1625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW KINGDOM LIVING FOUNDATION CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "WARDLAW",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "321-443-6351"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117405600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.