NPIMap

Organization Active NPI

Kingdom Dominion LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1164675385
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
S1895533 Issued in VA
Legal business name
KINGDOM DOMINION LLC
Practice address
7024 O Malley Dr
Same
Richmond, VA 23234
Phone
(804) 525-4345
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Cleveland Hill
Title
Cfo
Phone
(804) 525-4345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X S1895533 VA Primary

Addresses

Primary practice location

7024 O Malley Dr
Same
Richmond, VA 23234

Mailing address

7024 O Malley Dr.
Richmond, VA 23234
Phone (804) 525-4345

National Provider Directory

National Provider Directory
Tax ID family
Kingdom Dominion LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1164675385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 O MALLEY DR.",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23234",
            "telephone_number": "804-525-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 O MALLEY DR",
            "address_2": "SAME",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23234",
            "telephone_number": "804-525-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM DOMINION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CLEVELAND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-525-4345"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "S1895533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.