Kingdom Heart Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KINGDOM HEART LIVING LLC

Practice address

1165 Glenstone TRL Apt 2C
High Point, NC 27265-7489

Phone

(336) 405-1015

NPI assigned

Jan 20, 2026

Organization subpart

No

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

Authorized official

Name

Maxine Coston

Title

Ceo

Phone

(336) 405-1015

Specialties & licenses 2

Addresses

Tax ID family

Kingdom Heart Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kingdom Heart Living LLC

  • Licensed Practical Nurse
  • High Point, NC
  • NPI 1639038706
  NPD tax ID

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1184583577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 GLENSTONE TRL APT 2C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272657489",
            "telephone_number": "336-405-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 GLENSTONE TRL APT 2C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272657489",
            "telephone_number": "336-405-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HEART LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "COSTON",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-405-1015"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer King-Fairley
• Kaitlyn King, RBT
• Kristen King, PMHNP-BC
• Sara King
• Kingdom Care Services of NC, Inc.
• Kingdom Heart Living LLC
• Deborah Lynette Kirby, MD
• James W Kirby III, PA-C
• Samuel Craig Kirby, MD
• Michael V. Kirch, PHD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in High Point, NC
• Providers in High Point, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.