NPIMap

Organization Active NPI

Kingdom Dominion, LLC

  • Developmentally Disabled Services Day Training Agency
  • Richmond, VA
National Provider Identifier
1538499280
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
905-02-014 Issued in VA
Legal business name
KINGDOM DOMINION, LLC
Practice address
7024 Omalley Dr
Richmond, VA 23234-2800
Phone
(540) 586-4023
Fax
(540) 586-0747
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Mr. Cleveland L. Hill
Title
Owner
Phone
(540) 586-4023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 905-02-014 VA Primary

Addresses

Primary practice location

7024 Omalley Dr
Richmond, VA 23234-2800

Mailing address

7024 Omalley Dr
Richmond, VA 23234-2800
Phone (540) 586-4023

Other identifiers 1

IdentifierTypeStateIssuer
905-02-014OtherVADBHDS

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": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1538499280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 OMALLEY DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232342800",
            "telephone_number": "540-586-4023",
            "fax_number": "540-586-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 OMALLEY DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232342800",
            "telephone_number": "540-586-4023",
            "fax_number": "540-586-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM DOMINION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CLEVELAND",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-586-4023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "905-02-014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHDS",
            "identifier": "905-02-014",
            "state": "VA"
        }
    ],
    "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 Dec 31, 2009; 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.