OrganizationActive
Kingdom House LLC
NPI 1336759018 · In Home Supportive Care Agency · Magnolia, MS
Kingdom House LLC is a In Home Supportive Care Agency organization in Magnolia, MS (NPI 1336759018).
Provider details
- NPI number
- 1336759018
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Regina Medious, Owner/President(601) 783-0154
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
309 E Bay St
Magnolia, MS 39652-2815
Phone: (601) 783-0154
Fax: (601) 783-2995
Street-level locationGet directions
Mailing address
309 E Bay St
Magnolia, MS 39652-2815
Other names (DBA / former)
- Doing business as
- Rosa'S Superior Home and Health Care Agency
Registry dates
- Enumerated
- 2020-08-06
- Last updated
- 2020-08-06
- Certified
- 2020-08-06
Frequently asked questions
- What is Kingdom House LLC's NPI number?
- Kingdom House LLC's National Provider Identifier (NPI) is 1336759018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kingdom House LLC?
- Kingdom House LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Kingdom House LLC located?
- Kingdom House LLC's practice location on file with NPPES is 309 E Bay St, Magnolia, MS 39652-2815.
- What is Kingdom House LLC's phone number?
- The practice phone number listed in the NPPES registry for Kingdom House LLC is (601) 783-0154.
- Who is the authorized official for Kingdom House LLC?
- The authorized official listed on Kingdom House LLC's NPPES record is Regina Medious, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kingdom House LLC's NPI active?
- Yes — Kingdom House LLC's NPI (1336759018) is active in the NPPES registry as of the last update on 2020-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.