Provider Demographics
NPI:1235373432
Name:KINGS HEALTH CARE LLC.
Entity Type:Organization
Organization Name:KINGS HEALTH CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEKUNLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINWOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-221-0147
Mailing Address - Street 1:9550 SKILLMAN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8288
Mailing Address - Country:US
Mailing Address - Phone:214-221-0147
Mailing Address - Fax:214-221-0175
Practice Address - Street 1:9550 SKILLMAN ST STE 102
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:214-221-0147
Practice Address - Fax:214-221-0175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty