KINGDOM ADULT CARE LLC (NPI# 1003431214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003431214 |
| Entity Type | Organization |
| Organization Name | KINGDOM ADULT CARE LLC |
| Practice Address |
1770 S Buckley Rd Unit 6 Aurora CO 80017-5640 |
| Practice Telephone | 7205727974 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | MARAH ISMAIEL (OWNER & EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7209389179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Kingdom Adult Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Kingdom Adult Care LLC | 1770 S Buckley Road Unit 6, Aurora, CO 80017 |
| Street Address |
1770 S BUCKLEY RD UNIT 6 |
| City | AURORA |
| State | CO |
| Zip Code | 80017-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425133 | Jennifer Camp | Registered Nurse | 2500 South Parker Road, Parker, CO 80017 | 2017-09-08 |
| 1679002034 | Rukecha LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 S Ensenada St, Aurora, CO 80017 | 2017-06-08 |
| 1649714395 | Bruk Transportation LLC | Non-emergency Medical Transport (VAN) | 18091 E Kentucky Ave, Apt. 103, Aurora, CO 80017 | 2016-12-15 |
| 1477909604 | Agape Transit LLC | Non-emergency Medical Transport (VAN) | 1660 S Chambers Rd, Aurora, CO 80017 | 2016-05-06 |
| 1831552918 | Ayinalem Sima | Non-emergency Medical Transport (VAN) | 1720 S Quintero Way, Aurora, CO 80017 | 2016-04-05 |
| 1821450446 | Malayah Stamps | Technician, Other | 16202 E Alabama Dr, Aurora, CO 80017 | 2016-03-23 |
| 1033574330 | Melissa Rose Harmon | Student in an Organized Health Care Education/Training Program | 1234 Bell, Aurora, CO 80017 | 2015-12-31 |
| 1770951154 | Smooth Ride Services, LLC | Non-emergency Medical Transport (VAN) | 16492 E Wyoming Dr, Aurora, CO 80017 | 2015-09-02 |
| 1063893857 | Belew B Yigletu Sr. | Driver | 15330 E Center Ave # N204, Aurora, CO 80017 | 2015-06-17 |
| 1184058281 | Boomer Medical Supply | Durable Medical Equipment & Medical Supplies | 17935 East Florida Drive, Aurora, CO 80017 | 2013-08-26 |
| Find all providers in zip 80017 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727447 | Galina Kentera | Adult Companion | 10028 E Kansas Ave, Aurora, CO 80247-2478 | 2019-12-12 |
| 1588089015 | Immaculate Care Optimal Nursing Home & Health LLC | Adult Companion | 2821 S. Parker Rd., Suite 177, Aurora, CO 80014 | 2014-02-20 |
| 1780155564 | Melissa Anne Brophy | Adult Companion | 10782 E Alameda Ave, Aurora, CO 80012-1017 | 2018-12-05 |
| 1477953693 | Eva Edith Mejia | Adult Companion | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2014-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872850 | Brighton Co Homecare, LLC | Adult Companion | 203 Telluride St Unit 700, Brighton, CO 80601-4366 | 2020-02-12 |
| 1992342315 | Rachel K Sheesley | Adult Companion | 6594 S Newland Cir, Littleton, CO 80123-3752 | 2019-12-04 |
| 1831745934 | Sara Getahun | Adult Companion | 6880 E Colfax Ave, Denver, CO 80220-1707 | 2019-08-14 |
| 1699253989 | Baca Home Care Agency, Inc | Adult Companion | 681 W 5th Ave, Springfield, CO 81073-1208 | 2018-07-30 |
| 1093252298 | Randolph Assisted Living LLC | Adult Companion | 12974 E Elgin Dr, Denver, CO 80239-4419 | 2017-01-25 |
| 1346691516 | April Chaffee | Adult Companion | 16550 Prairie Vista Ln, Peyton, CO 80831-8646 | 2016-06-28 |
| 1346699352 | Nicole J Miller | Adult Companion | 3100 Wood Ave, Lot #g17, Colorado Springs, CO 80907-5134 | 2016-06-09 |
| 1861878761 | Kelsey Torchia | Adult Companion | 1385 S Clayton St, Denver, CO 80210-2429 | 2015-08-03 |
| 1104009547 | Salida Senior Day Care | Adult Companion | 348 G St, Salida, CO 81201-2021 | 2007-12-07 |
| 1609337773 | Special Outings, Activities, and Recreations LLC | Adult Companion | 9465 W Hinsdale Pl, Littleton, CO 80128-4168 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.