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KINGDOM VILLAGE GROUP HOME
NPI 1700539756
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kissimmee, FL

Active since January 31, 2022
3021 GREATBEAR WAY, KISSIMMEE, FL 34746(330) 329-1588(407) 201-5348 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kingdom Village Group Home NPPES

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

KINGDOM VILLAGE GROUP HOME (NPI 1700539756) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Kissimmee, Florida and active in the NPI registry since January 2022. The organization lists Latosha Riley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700539756
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameKINGDOM VILLAGE GROUP HOME
Location Address3021 GREATBEAR WAYKissimmee, FL 34746-2116
Mailing Address3021 Greatbear WayKissimmee, FL 34746-2116 · (330) 329-1588 · Fax (407) 201-5348
Phone(330) 329-1588
Fax(407) 201-5348
Organization SubpartNo
Authorized OfficialLatosha RileyCeo · (330) 329-1588
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1700539756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3021 GREATBEAR WAY, Kissimmee, FL 34746
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Other Identifiers 1

Medicaid010293900FL

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 Village Group Home's NPI number?

The NPI number for Kingdom Village Group Home is 1700539756. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Kingdom Village Group Home located?

Kingdom Village Group Home is located at 3021 Greatbear Way, Kissimmee, FL 34746. The listed phone number is (330) 329-1588.

What is Kingdom Village Group Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kingdom Village Group Home was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.