KING OF KINGS HOME HEALTH CARE SERVICE, LLC


Address: 200 3rd St S, Suite 200, Stillwater, MN 55082-4903
Phone: 6513294047

KING OF KINGS HOME HEALTH CARE SERVICE, LLC (NPI# 1487913679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487913679
Entity Type Organization
Organization Name KING OF KINGS HOME HEALTH CARE SERVICE, LLC
Practice Address 200 3rd St S
Suite 200
Stillwater
MN 55082-4903
Practice Telephone 6513294047
Practice Fax Number 6513510503
Mailing Telephone 6513294047
Mailing Fax Number 6513510503
Enumeration Date 2012-05-09
Last Update Date 2012-05-09
Authorized Official Name MR. BARRY WILLIAM MCKEE JR. (CEO)
Authorized Official Telephone 6513294047
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 355568 MN Agencies

Office Location

Street Address 200 3RD ST S
SUITE 200
City STILLWATER
State MN
Zip Code 55082-4903

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144841891 Full Motion Physical Therapy Home Health 6211 Pearl Snap Trl, Stillwater, OK 74074-7457 2020-05-05
1881097608 Buurtzorg Usa Home Health 1921 Curve Crest Blvd W, Stillwater, MN 55082-6063 2014-10-07
1548674039 Rest Easy At Home Health Care Agency, LLC Home Health 1825 Curve Crest Blvd W Ste 200, Stillwater, MN 55082-4086 2014-06-12
1629411988 Paragon Psychiatric Nursing Services Home Health 225 Sherburne St N, Stillwater, MN 55082-4726 2013-04-16
1710162177 Mays Housecall Home Health, Inc. Home Health 2310 W 7th Ave, Stillwater, OK 74074-1911 2008-01-04
1659451243 Healthcare Innovations/travertine Health Services, LLC Home Health 2318 W 7th Ave, Stillwater, OK 74074-1911 2006-10-17
1871567958 Stillwater Medical Center Authority Home Health 1201 S. Adams, Stillwater, OK 74074-4225 2006-02-15
1356348460 Homecall of Stillwater, Inc Home Health 419 S Monroe St, Stillwater, OK 74074-3323 2005-07-05
1033754676 Hands At The Cross Care Home LLC Home Health 1740 Overlook Trl N, Stillwater, MN 55082-2520 2019-11-07
1144610403 Rest Easy At Home Health Care Agency, LLC Home Health 1825 Curve Crest Blvd W, 200, Stillwater, MN 55082-5090 2015-01-26
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Competitor

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City STILLWATER
Zip Code 55082

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Dataset Information

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.

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