Organization Active NPI

Kingdom Covenant Care, LLC

  • Personal Care Attendant
  • Jackson, MS
National Provider Identifier
1073477212
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
KINGDOM COVENANT CARE, LLC
Practice address
3512 Forest Hill Rd
Jackson, MS 39212-3819
Phone
(601) 213-7010
NPI assigned
Dec 11, 2025
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Mrs. Alisha WhiteNPI 1073065975
Title
Owner
Phone
(601) 213-7010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X NU
Personal Care Attendant 3747P1801X NU Primary

Addresses

Primary practice location

3512 Forest Hill Rd
Jackson, MS 39212-3819

Mailing address

3512 Forest Hill Rd
Jackson, MS 39212-3819
Phone (601) 213-7010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1073477212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 FOREST HILL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123819",
            "telephone_number": "601-213-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 FOREST HILL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123819",
            "telephone_number": "601-213-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM COVENANT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-213-7010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.