KINGDOM HOUSE LLC (NPI# 1336759018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336759018 |
| Entity Type | Organization |
| Organization Name | KINGDOM HOUSE LLC |
| Practice Address |
309 E Bay St Magnolia MS 39652-2815 |
| Practice Telephone | 6017830154 |
| Practice Fax Number | 6017832995 |
| Mailing Telephone | 6017830154 |
| Mailing Fax Number | 6017832995 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | REGINA MEDIOUS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6017830154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Rosa's Superior Home and Health Care Agency | Doing Business As Name - Organization |
| Street Address |
309 E BAY ST |
| City | MAGNOLIA |
| State | MS |
| Zip Code | 39652-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786932 | Donald Mcdaniel | Nurse Practitioner | 2683 Kermit Road, Magnolia, MS 39652 | 2017-08-17 |
| 1427260611 | South Pike School District | Registered Nurse | 1175 North Clark St, Magnolia, MS 39652 | 2007-05-03 |
| 1053477711 | Kimberly Renee Lemaster | Family Medicine | 111 Magnolia Street, Magnolia, MS 39652 | 2006-12-28 |
| 1265950877 | Christopher Clayton Givens | Nurse Practitioner | 111 Magnolia Street, Magnolia, MS 39652 | 2017-09-04 |
| 1932300977 | Bryan Barret Martin | Dentist | 405 N Clark Ave, Magnolia, MS 39652-2609 | 2007-05-29 |
| 1710278429 | Bryan B. Martin, Dmd, LLC | Dentist | 405 N Clark Ave, Magnolia, MS 39652-2609 | 2011-04-28 |
| 1265627467 | South Pike School District | Registered Nurse | 205 W Myrtle St, Magnolia, MS 39652-2717 | 2007-09-11 |
| 1780725689 | Magnolia Rehab Company | Physical Therapist | 335 E Bay St, Magnolia, MS 39652-2815 | 2007-02-12 |
| 1831637826 | Tamelia Robinson | Physical Therapy Assistant | 335 E Bay St, Magnolia, MS 39652-2815 | 2017-02-09 |
| 1023280468 | Tri Therapy Pllc | Clinic/Center | 335 E Bay St, Magnolia, MS 39652-2815 | 2008-03-26 |
| Find all providers in zip 39652 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143600 | Rjr Kalli, LLC | In Home Supportive Care | 113 N Railroad St, Magnolia, NC 28453 | 2020-01-10 |
| 1568009918 | Tailored Care LLC | In Home Supportive Care | 85 Point Landing Ln, Magnolia, DE 19962-2800 | 2019-12-04 |
| 1396396420 | Southern Caregivers, Ltd | In Home Supportive Care | 710 Sue, Magnolia, AR 71753-2127 | 2019-09-20 |
| 1528534369 | Woodlands Golden Healthcare Inc | In Home Supportive Care | 19 Bowerbank Ct, Magnolia, TX 77354-3281 | 2018-10-19 |
| 1801276860 | Arc of Camden County - Sherwood Gh | In Home Supportive Care | 611 Sherwood Rd, Magnolia, NJ 08049-1126 | 2015-06-04 |
| 1588908206 | Fox E Enterprises, LLC | In Home Supportive Care | 32815 Tamina Rd, Suite A, Magnolia, TX 77354-3394 | 2012-11-19 |
| 1437378379 | South Jersey Behavioral Health Resources Incorporated | In Home Supportive Care | 212 Madison Ave E, Magnolia, NJ 08049-1409 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659168 | Linda Summerville | In Home Supportive Care | 1204 W Claiborne Ave, Greenwood, MS 38930-2806 | 2020-11-07 |
| 1174123442 | Anointed Caregiver LLC | In Home Supportive Care | 585 Stewart Street, Holly Springs, MS 38635 | 2020-10-27 |
| 1639776750 | Hope Supportive LLC. | In Home Supportive Care | 6295 Old Canton Rd Apt 19d, Jackson, MS 39211-2934 | 2020-10-01 |
| 1518572775 | Healing Innovations LLC | In Home Supportive Care | 2006 Pumping Station Rd, Osyka, MS 39657-7325 | 2020-09-14 |
| 1598379323 | Home Care of Mississippi, LLC | In Home Supportive Care | 428 N Lamar Blvd Ste 114, Oxford, MS 38655-3221 | 2020-08-31 |
| 1619589249 | Amedeo Home Care Services | In Home Supportive Care | 3111 Washington St, Vicksburg, MS 39180-4968 | 2020-08-17 |
| 1174132476 | Divine Home Care Changes | In Home Supportive Care | 106 Ethel Dr, Vicksburg, MS 39180-8905 | 2020-07-23 |
| 1013534650 | Randolph's Devoted Home Care | In Home Supportive Care | 6901 Highway 305 N Ste F, Olive Branch, MS 38654-2317 | 2020-06-30 |
| 1558986190 | Eugene J Hoffman Iv | In Home Supportive Care | 305 Reese St, Bay Saint Louis, MS 39520-2823 | 2020-06-09 |
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.