Loyal Kingdom LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LOYAL KINGDOM LLC

Practice address

7208 205TH Ave E
Bonney Lake, WA 98391-6123

Phone

(253) 985-1071

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Robinson MbuguaNPI 1659066942

Title

President

Phone

(253) 985-1071

Specialties & licenses 9

Addresses

Other names 1

• Mo'care Comfort Ride Doing business as

Tax ID family

Loyal Kingdom 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.

• Loyal Kingdom LLC

  • Home Health Agency
  • Bonney Lake, WA
  • NPI 1295513687
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robinson Mbugua

  • Contractor
  • Bonney Lake, WA
  • NPI 1659066942
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694822400000",
    "number": "1558048074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 205TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916123",
            "telephone_number": "253-985-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 205TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916123",
            "telephone_number": "253-985-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL KINGDOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "MBUGUA",
        "authorized_official_first_name": "ROBINSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-985-1071"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mo'care Comfort Ride",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mo'care Comfort Ride",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Danao Little
• Benjamin Lochala, PHARMD, RPH
• Robert Wayne Long, CDP
• Honey Laraine Lopez, PTA
• Loyal Kingdom LLC
• Stephanie Lyman, ARNP
• Andrea Marie Lynde, DO
• M2 Anesthesia, PLLC
• Namratha Madapu, DMD
• Alta Dawne Mahan, D.C.

• Durable Medical Equipment & Medical Supplies in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.