Kingdom Living Homes Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KINGDOM LIVING HOMES CORP

Practice address

1201 Black Heath Rd
Midlothian, VA 23113-2708

Phone

(804) 510-0010

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Lisa Branch

Title

Cfo

Phone

(804) 510-0010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1457036238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BLACK HEATH RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BLACK HEATH RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132708",
            "telephone_number": "804-510-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM LIVING HOMES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-510-0010"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius K Kimani, PMHNP-BC
• Herbert A King II, MD
• Maria King, DPT
• Maya King, PT, DPT
• Rebekah Myrtle King, NP
• Shakola Kingston, PHARM, D
• Emily Kinkead
• Rebecca M Kiraly-Qualls, OD
• Bruce A Kiraly, O.D.
• Melinda Rose Collins Kirby, LCSW

• Community/Behavioral Health Agency in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.