KINGDOM HOUSE LLC
NPI 1336759018
In Home Supportive Care in Magnolia, MS

Active since August 06, 2020
309 E BAY ST, MAGNOLIA, MS 39652(601) 783-0154(601) 783-2995 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care

About KINGDOM HOUSE LLC

This page provides the complete NPI Profile along with additional information for Kingdom House Llc, a provider established in Magnolia, Mississippi operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1336759018 assigned on August 2020. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Regina Medious (Owner/president)

NPI
1336759018 Verify this NPI
Provider Name
KINGDOM HOUSE LLC
Entity Type
Organization
Location Address
309 E BAY ST MAGNOLIA, MS 39652
Location Phone
(601) 783-0154
Location Fax
(601) 783-2995
Mailing Address
309 E BAY ST MAGNOLIA, MS 39652
Mailing Phone
(601) 783-0154
Mailing Fax
(601) 783-2995
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2020
Last Update Date
08-06-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REGINA MEDIOUS

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(601) 783-0154

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336759018, enumerated as an "organization" on August 06, 2020.

The provider is located at 309 E BAY ST MAGNOLIA, MS 39652 and the phone number is (601) 783-0154.

In Home Supportive Care with taxonomy code 253Z00000X.