KINGDOM MEDICAL EQUIPMENT LLC (NPI# 1144333089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144333089 |
| Entity Type | Organization |
| Organization Name | KINGDOM MEDICAL EQUIPMENT LLC |
| Practice Address |
1824 Nw 52nd St Lawton OK 73505-3122 |
| Mailing Address |
1834 Nw 52nd St Lawton OK 73505-3122 |
| Practice Telephone | 5803551511 |
| Practice Fax Number | 5803550455 |
| Mailing Telephone | 5803551511 |
| Mailing Fax Number | 5803550455 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | MR. JAY HILLIARD (MANAGING MEMBER) |
| Authorized Official Telephone | 5803551511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200073650 B | 05 | |
| OK | 200073650 A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KINGDOM MEDICAL EQUIPMENT LLC | 1834 Nw 52nd St, Lawton, OK 73505-3122 |
| Street Address |
1824 NW 52ND ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225320898 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 2710 W Gore Blvd, Lawton, OK 73505-6319 | 2011-05-13 |
| 1649449414 | Amercian Home Medical Services | Durable Medical Equipment & Medical Supplies | 1816 W Gore Blvd, Lawton, OK 73501-3615 | 2008-02-26 |
| 1538162110 | Johnson Medical Consulting, Inc. | Durable Medical Equipment & Medical Supplies | 2504 Sw Lee Blvd, Lawton, OK 73505-8311 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104314665 | Bcw Group LLC | Durable Medical Equipment & Medical Supplies | 3701 S 9th Ave, Durant, OK 74701-1989 | 2018-04-30 |
| 1992079438 | Prime Source Dme of Oklahoma | Durable Medical Equipment & Medical Supplies | 6810 E 40th St Ste A, Tulsa, OK 74145-4510 | 2012-03-01 |
| 1235416207 | Madison Medical LLC | Durable Medical Equipment & Medical Supplies | 1047 E Main St, Suite #2, Cushing, OK 74023-2839 | 2011-11-04 |
| 1013292267 | Procare Healing Centers, LLP | Durable Medical Equipment & Medical Supplies | 1208 N Council Rd, Oklahoma City, OK 73127-4987 | 2011-10-19 |
| 1760715585 | Alternacare Inc | Durable Medical Equipment & Medical Supplies | 1100 W Cherokee Ave, Sallisaw, OK 74955-4025 | 2009-09-11 |
| 1003149022 | Apollo Services Inc. | Durable Medical Equipment & Medical Supplies | 1500 Sw Frank Phillips Blvd, Bartlesville, OK 74003-3127 | 2009-09-09 |
| 1518199876 | Indian Territory Home Health Inc | Durable Medical Equipment & Medical Supplies | 2112 W Broadway Ave, Suite B, Sulphur, OK 73086-4200 | 2009-08-19 |
| 1992936090 | Medical West Respiratory Central, LLC | Durable Medical Equipment & Medical Supplies | 608 West 18th Street, Edmond, OK 73013 | 2009-08-06 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1619118544 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 7709 E 42nd Place, Ste 126, Tulsa, OK 74145-4727 | 2009-03-24 |
| 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.