Provider Demographics
NPI:1700303435
Name:KINGDOM INVESTMENT NETWORKING GROUP
Entity Type:Organization
Organization Name:KINGDOM INVESTMENT NETWORKING GROUP
Other - Org Name:WE ARE HOPE RECOVERY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KENDRID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-333-4337
Mailing Address - Street 1:5715 W ALEXANDER RD STE 110B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-2815
Mailing Address - Country:US
Mailing Address - Phone:702-333-4373
Mailing Address - Fax:702-333-4337
Practice Address - Street 1:5715 W ALEXANDER RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-2815
Practice Address - Country:US
Practice Address - Phone:702-333-4373
Practice Address - Fax:702-333-4337
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINGDOM INVESTMENT NETWORKING GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-24
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV820674838Medicaid