=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093635872
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KINGDOM CARE SOLUTIONS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2026
-----------------------------------------------------
Last Update Date | 07/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1434A W MARKET ST
-----------------------------------------------------
City | ANDERSON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29624-1328
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-642-9642
-----------------------------------------------------
Fax | 864-686-5777
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 3756
-----------------------------------------------------
City | ANDERSON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29622-3756
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-221-1441
-----------------------------------------------------
Fax | 864-686-5777
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR/OWNER
-----------------------------------------------------
Name | ADRAIN LETISHA PATTERSON
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 864-221-1441
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------