# KINGDOM HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639786700
- **Authorized official:** SAFA SALAH (OWNER)
- **Authorized official phone:** (816) 610-1753

## Contact information

- **Practice address:** 107 W 9TH ST, KANSAS CITY, MO 64105-1705
- **Practice address phone:** (816) 610-1753
- **Practice address fax:** (816) 222-0508
- **Mailing address:** 107 W 9TH ST, KANSAS CITY, MO 64105-1705
- **Mailing address phone:** (816) 610-1753
- **Mailing address fax:** (816) 222-0508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 09/23/2020