Kingdom House LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KINGDOM HOUSE LLC

Doing business as

Rosa's Superior Home and Health Care Agency

Practice address

309 E Bay St
Magnolia, MS 39652-2815

Phone

(601) 783-0154

Fax

(601) 783-2995

NPI assigned

Aug 6, 2020

Last updated

Aug 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina Medious

Title

Owner/President

Phone

(601) 783-0154

Specialties & licenses 1

Addresses

Other names 1

• Rosa's Superior Home and Health Care Agency Doing business as

Locations

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1336759018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E BAY ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522815",
            "telephone_number": "601-783-0154",
            "fax_number": "601-783-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E BAY ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522815",
            "telephone_number": "601-783-0154",
            "fax_number": "601-783-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "MEDIOUS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "601-783-0154"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosa's Superior Home and Health Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Freedom Hospital of Magnolia LLC (Beacham Memorial Hospital)
• Freedom Hospital of Magnolia, LLC (Beacham Memorial Hospital)
• Doris Glenda Holliday
• Amy Keller, RCS,RVS
• Alisa Britney Kelley, FNP-C
• Lampton Medical Associates, P.a.
• Lucius M. Lampton, M.D.
• George H Leggett, D.D.S.
• Kimberly Renee Lemaster, FNP
• Angela Francshon Lofton-Varnado, AGACNP-BC

• In Home Supportive Care Agency in Magnolia, MS
• Providers in Magnolia, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.