KINGDOM FAMILY CARE HOME (NPI# 1306357652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306357652 |
| Entity Type | Organization |
| Organization Name | KINGDOM FAMILY CARE HOME |
| Practice Address |
11062 Hwy 50 North Benson NC 27504 |
| Practice Telephone | 9199022297 |
| Mailing Telephone | 9199022297 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | MRS. SHELLEATHA DUNN GLENN (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 0919902297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | NC | Agencies |
| Street Address |
11062 HWY 50 NORTH |
| City | BENSON |
| State | NC |
| Zip Code | 27504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970780 | Tara Baran | Pharmacist | 3333 Nc-242, Benson, NC 27504 | 2020-07-23 |
| 1346622818 | Meagan Maida Parker | Dentist | 12330 Highway 210, Suite #115, Benson, NC 27504 | 2015-06-22 |
| 1437598067 | Dongmin Lee | Dentist | 12330 Nc-210, 115, Benson, NC 27504 | 2013-06-17 |
| 1770871014 | Mark Damian Greenwell | Pharmacist | 13440 Nc 210 Highway, Benson, NC 27504 | 2011-07-20 |
| 1346403151 | Liberty Healthcare Group LLC | Assisted Living Facility | 2315 Hwy 242 N, Benson, NC 27504 | 2008-07-02 |
| 1063580447 | Martin Davis Lee | Chiropractor | 106 South Elm Street, Benson, NC 27504 | 2006-12-01 |
| 1548348824 | Riccobene-mcgees | Dentist | 12330 Highway 210, Suite 115, Benson, NC 27504 | 2006-11-02 |
| 1225113277 | Monica Weathers | Speech-Language Pathologist | 102 North Market Street, Suite Ff, Benson, NC 27504 | 2006-10-26 |
| 1912081944 | Carl David Horkavy | Chiropractor | 202 Nilee St, Benson Chiropractic Center PC, Benson, NC 27504 | 2006-10-25 |
| 1750489308 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13440 Nc 210 Hwy, Benson, NC 27504 | 2006-09-20 |
| Find all providers in zip 27504 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295283265 | Kai Varela | Nursing Care | 3330 W Hopi Pl, Benson, AZ 85602-7638 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458278 | Essential Living Home Care LLC | Nursing Care | 7633 Knightdale Blvd Ste 102, Knightdale, NC 27545-9015 | 2020-08-20 |
| 1720606122 | A Will To Live Home Health, LLC | Nursing Care | 109 South Elm Street Unit C, Creedmoor, NC 27522 | 2020-07-12 |
| 1265058242 | Fenominal Services, LLP | Nursing Care | 160 Charlotte Ave Ste A, Sanford, NC 27330-4318 | 2020-06-25 |
| 1831715085 | Isatou Camara | Nursing Care | 4009 Cane Garden Dr, Raleigh, NC 27610-5695 | 2020-06-23 |
| 1235751702 | Dixon Home Care Agency, L.L.C. (dhca) | Nursing Care | 1905 Hwy 58 S, Snow Hill, NC 28580-7205 | 2020-05-07 |
| 1922628130 | Zula M Price | Nursing Care | 2 Carlynn Ct, Greensboro, NC 27455-1407 | 2020-04-17 |
| 1629602099 | Compassion Nursing & Home Care | Nursing Care | 2015 Shorthorn St, Charlotte, NC 28213-5255 | 2020-02-25 |
| 1932730744 | Beach Haven Home Care LLC | Nursing Care | 4717 N Croatan Hwy Ste A, Kitty Hawk, NC 27949-8906 | 2020-01-30 |
| 1861022139 | Caring Hands Home-care Agency LLC | Nursing Care | 124 Unionville Indian Trail Rd W Ste B6, Indian Trail, NC 28079-5621 | 2020-01-24 |
| 1134759806 | Better Days Home Health Care, Inc | Nursing Care | 715a Morrow Ave, Pineville, NC 28134-6529 | 2020-01-22 |
| 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.