Provider Demographics
NPI:1760352652
Name:KINGDOM RESOURCES MINISTRIES, INC
Entity type:Organization
Organization Name:KINGDOM RESOURCES MINISTRIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-452-5287
Mailing Address - Street 1:617 IRON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63111-2421
Mailing Address - Country:US
Mailing Address - Phone:314-452-5287
Mailing Address - Fax:
Practice Address - Street 1:617 IRON ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63111-2421
Practice Address - Country:US
Practice Address - Phone:314-452-5287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINGDOM RESOURCES MINISTRIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health