Provider Demographics
NPI:1710729207
Name:KINGS COMMUNITY ACTION ORGANIZATION, INC.
Entity type:Organization
Organization Name:KINGS COMMUNITY ACTION ORGANIZATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-415-7202
Mailing Address - Street 1:1130 N 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-3608
Mailing Address - Country:US
Mailing Address - Phone:559-582-4386
Mailing Address - Fax:
Practice Address - Street 1:1716 N 11TH AVE STE B
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-2081
Practice Address - Country:US
Practice Address - Phone:559-585-1018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No171W00000XOther Service ProvidersContractor
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251V00000XAgenciesVoluntary or Charitable
No332U00000XSuppliersHome Delivered Meals