KINGDOM DOMINION LLC – NPI #1164675385
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

KINGDOM DOMINION LLC is a residential treatment facility located in RICHMOND, VA. NPPES has assigned the NPI number 1164675385 to KINGDOM DOMINION LLC on October 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KINGDOM DOMINION LLC below.

NPI Profile for
KINGDOM DOMINION LLC

NPI Number
1164675385
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KINGDOM DOMINION LLC
Primary location
7024 O MALLEY DR
SAME
RICHMOND, VA 23234
Phone: (804) 525-4345 Fax:
Mailing address
7024 O MALLEY DR.
RICHMOND, VA 23234
Phone: (804) 525-4345 Fax:
Organization Subpart
No
Authorized Official
CLEVELAND HILL
CFO
Phone: (804) 525-4345
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
VA S1895533

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.