The Kingdom Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE KINGDOM FOUNDATION

Practice address

110 Exchange St Ste C
Danville, VA 24541-3500

Phone

(434) 421-9447

Fax

(434) 857-2219

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Cecil Ezekiel Bridgeforth

Title

Ceo/President

Phone

(434) 421-9447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1992290332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EXCHANGE ST STE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245413500",
            "telephone_number": "434-421-9447",
            "fax_number": "434-857-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EXCHANGE ST STE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245413500",
            "telephone_number": "434-421-9447",
            "fax_number": "434-857-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KINGDOM FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "BRIDGEFORTH",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "EZEKIEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "434-421-9447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Danville, 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 27, 2018; 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.