# KINGDOM PATHWAYS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851539423
- **Authorized official:** MR. JAMES MICHAUD MDIV. (EXEC. DIRECTOR)
- **Authorized official phone:** (651) 387-8393

## Contact information

- **Practice address:** 11825 BITTERSWEET ST NW, COON RAPIDS, MN 55433-2917
- **Practice address phone:** (763) 862-5336
- **Practice address fax:** (763) 862-5336
- **Mailing address:** 11825 BITTERSWEET ST NW, COON RAPIDS, MN 55433-2917
- **Mailing address phone:** (763) 862-5336
- **Mailing address fax:** (763) 862-5336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 02/04/2009