Provider Demographics
NPI:1982409454
Name:KINGDOM CAREGIVERS FL
Entity type:Organization
Organization Name:KINGDOM CAREGIVERS FL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-372-2300
Mailing Address - Street 1:24 HIDDEN ACRES DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1550
Mailing Address - Country:US
Mailing Address - Phone:914-920-1254
Mailing Address - Fax:
Practice Address - Street 1:1605 RENAISSANCE COMMONS BLVD APT 222
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8283
Practice Address - Country:US
Practice Address - Phone:561-372-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care