Organization Active NPI

New Kingdom Living Foundation Care

  • Home Health Agency
  • Davenport, FL
National Provider Identifier
1902604457
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Jasmine WardlawNPI 1699413963
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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
117405600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.