Kingdom Sons Legacy House Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KINGDOM SONS LEGACY HOUSE CORP

Practice address

8531 Zane LN
Port Richey, FL 34668-1261

Phone

(706) 668-8169

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

JACK C. MONTGOMERY VA MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krystal RodgersNPI 1780234682

Title

Founder/Ceo

Phone

(706) 668-8169

Specialties & licenses 1

Addresses

Part of

Eovacs

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystal Rodgers

  • Attendant Care Provider
  • Rome, GA
  • NPI 1780234682
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1053297739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 ZANE LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681261",
            "telephone_number": "706-668-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8531 ZANE LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681261",
            "telephone_number": "706-668-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM SONS LEGACY HOUSE CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACK C. MONTGOMERY VA MEDICAL CENTER",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "706-668-8169"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millad Kamel
• Kassidy Kare Home Agency
• Edwina Alexandria Kennedy, MA
• Khoi X Dam MD PA
• Alfredo Pineda Kiernan, MD
• Andreas Key Kinzie, MSW, PLCSW
• David J Kosiorek, PA C
• Kratz Allergy Asthma & Immunology Associates PA
• Jaime Kratz, MD
• Michael E Krutchik, DO

• In Home Supportive Care Agency in Port Richey, FL
• Providers in Port Richey, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.