KINGDOM CARE ALF LLC
NPI 1497696785
Assisted Living Facility in Fulton, MO
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 holds a CLIA Waiver certificate valid through August 31, 2026 and lists Nathan Goldberg, Medicare Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D0668874
Kingdom Care Senior Living LLC · Fulton, MOOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Does Kingdom Care Alf LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0668874) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kingdom Care Alf LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
