Organization Active NPI

Kingdom Home Care and Nursing Services LLC

  • In Home Supportive Care Agency
  • Bassfield, MS
National Provider Identifier
1336484450
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KINGDOM HOME CARE AND NURSING SERVICES LLC
Practice address
13 B M Cir
13 B M Circle
Bassfield, MS 39421-4256
Phone
(601) 520-5540
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Ms. Deborah A Harper
Title
LPN
Phone
(601) 520-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X MS Primary

Addresses

Primary practice location

13 B M Cir
13 B M Circle
Bassfield, MS 39421-4256

Mailing address

13 B M Cir
13 B M Circle
Bassfield, MS 39421-4256
Phone (601) 520-5540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1336484450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 B M CIR",
            "address_2": "13 B M CIRCLE",
            "city": "BASSFIELD",
            "state": "MS",
            "postal_code": "394214256",
            "telephone_number": "601-520-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 B M CIR",
            "address_2": "13 B M CIRCLE",
            "city": "BASSFIELD",
            "state": "MS",
            "postal_code": "394214256",
            "telephone_number": "601-520-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HOME CARE AND NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "601-520-5540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassfield, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.