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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KINGDOM CARE ALF LLC
NPI 1497696785
Assisted Living Facility in Fulton, MO

Active since April 02, 2026
811 CENTER ST, FULTON, MO 65251(573) 642-6646(573) 642-2202 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 21, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Kingdom Care Alf Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGDOM CARE ALF LLC (NPI 1497696785) is a healthcare organization registered as an assisted living facility in Fulton, Missouri and active in the NPI registry since April 2026. The organization lists Nathan Goldberg, Medicare Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1497696785
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKINGDOM CARE ALF LLC
Location Address811 CENTER STFulton, MO 65251-1922
Mailing Address1605 Union AveBaltimore, MD 21211-1918
Phone(573) 642-6646
Fax(573) 642-2202
Organization SubpartNo
Authorized OfficialNathan GoldbergMedicare Authorized Official · (443) 208-1826
Enumeration DateApril 2, 2026
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1497696785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
811 CENTER ST, Fulton, MO 65251
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRESBYTERIAN MANORS, INC
Skilled Nursing Facility
811 CENTER ST
FULTON, MO 65251
Callaway County (573) 642-6646
KINGDOM CARE SENIOR LIVING, LLC
Skilled Nursing Facility
811 CENTER ST
FULTON, MO 65251
Callaway County (573) 416-2531
KINGDOM CARE OPCO LLC
Skilled Nursing Facility
811 CENTER ST
FULTON, MO 65251
Callaway County (573) 642-6646
KINGDOM CARE ASSISTED LIVING, LLC
Assisted Living Facility
811 CENTER ST
FULTON, MO 65251
Callaway County (573) 642-6646
SHAEANA LENAE COBBINS
Occupational Therapy Assistant
811 CENTER ST
FULTON, MO 65251
Callaway County (573) 642-6646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingdom Care Alf LLC's NPI number?

The NPI number for Kingdom Care Alf LLC is 1497696785. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Kingdom Care Alf LLC located?

Kingdom Care Alf LLC is located at 811 Center St, Fulton, MO 65251. The listed phone number is (573) 642-6646.

What is Kingdom Care Alf LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Kingdom Care Alf LLC was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.