KINGDOM DOMINION LLC (NPI# 1992099873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992099873 |
| Entity Type | Organization |
| Organization Name | KINGDOM DOMINION LLC |
| Practice Address |
633 Newton St Danville VA 24541-2019 |
| Practice Telephone | 8045254345 |
| Practice Fax Number | 8045627752 |
| Mailing Telephone | 8045254345 |
| Mailing Fax Number | 8045627752 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | MR. ANTHONY L WALKER (OWNER) |
| Authorized Official Telephone | 8045254345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 905-02-014 | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164675385 | Kingdom Dominion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7024 O Malley Dr, Same, Richmond, VA 23234 | 2008-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KINGDOM DOMINION LLC | 18a S Side Pl, Tuxedo Park, Ny 10987 |
| Street Address |
633 NEWTON ST |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891317657 | Changing Lives Therapeutic Service, LLC | Community/Behavioral Health | 413 Mount Cross Rd Ste 102, Danville, VA 24540-4089 | 2020-05-14 |
| 1295369056 | Rainbow Support Services, LLC | Community/Behavioral Health | 1309 Silver Creek Rd, Danville, VA 24540-6931 | 2020-03-02 |
| 1497388458 | Life Push, LLC | Community/Behavioral Health | 308 Craghead St, Danville, VA 24541-1470 | 2020-02-19 |
| 1376195453 | Pathfinders Resources Inc | Community/Behavioral Health | 661 Arnett Blvd Ste C, Danville, VA 24540-2507 | 2019-07-10 |
| 1194387704 | Amore International Mental Health | Community/Behavioral Health | 1217 Glenn St, Danville, VA 24540-3046 | 2019-07-03 |
| 1013484203 | Alafia Behavioral Support Services, LLC | Community/Behavioral Health | 625 Piney Forest Rd Ste 301e, Danville, VA 24540-2869 | 2018-10-26 |
| 1992290332 | The Kingdom Foundation | Community/Behavioral Health | 110 Exchange St Ste C, Danville, VA 24541-3500 | 2018-06-27 |
| 1700371796 | The Wendell Scott Foundation, Inc. | Community/Behavioral Health | 223 Riverview Dr Ste C, Danville, VA 24541-3435 | 2018-06-22 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1164943437 | Angela J Williams | Community/Behavioral Health | 116 Magnolia Dr, Danville, VA 24541-3626 | 2017-06-27 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.