Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingdom Sons Legacy House Corp

Organization In Home Supportive Care Agency · NPI 1053297739

Kingdom Sons Legacy House Corp is an In Home Supportive Care Agency in Port Richey, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8531 Zane Ln
Port Richey, FL 34668-1261
Phone: (706) 668-8169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1053297739
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJack C. Montgomery VA Medical Center
Authorized official Krystal Rodgers — Founder/Ceo · (706) 668-8169
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address8531 Zane Ln, Port Richey, FL 34668-1261

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