Kingdom Care Senior Living, LLC
NPI 1336751338 · Skilled Nursing Facility · Fulton, MO
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kingdom Care Senior Living, LLC is a Skilled Nursing Facility organization in Fulton, MO (NPI 1336751338).
Provider details
- NPI number
- 1336751338
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bobbie Young, Consultant(573) 683-1355
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-20
- Last updated
- 2023-06-19
- Certified
- 2023-06-19
Frequently asked questions
- What is Kingdom Care Senior Living, LLC's NPI number?
- Kingdom Care Senior Living, LLC's National Provider Identifier (NPI) is 1336751338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kingdom Care Senior Living, LLC?
- Kingdom Care Senior Living, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Kingdom Care Senior Living, LLC located?
- Kingdom Care Senior Living, LLC's practice location on file with NPPES is 811 Center St, Fulton, MO 65251-1922.
- What is Kingdom Care Senior Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kingdom Care Senior Living, LLC is (573) 416-2531.
- Does Kingdom Care Senior Living, LLC accept Medicare?
- Kingdom Care Senior Living, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kingdom Care Senior Living, LLC?
- The authorized official listed on Kingdom Care Senior Living, LLC's NPPES record is Bobbie Young, Consultant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kingdom Care Senior Living, LLC's NPI active?
- Yes — Kingdom Care Senior Living, LLC's NPI (1336751338) is active in the NPPES registry as of the last update on 2023-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.