Renita Kirkman

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC5411 Issued in NC

Practice address

11560 NC 55 Hwy Ste 7
Grantsboro, NC 28529-9447

Phone

(252) 242-0088

NPI assigned

Mar 21, 2020

Last updated

Mar 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Adult and Senior Services LLC

  • In Home Supportive Care Agency
  • Bayboro, NC
  • NPI 1588290506
  NPD Authorized official
• Cannon Ridge Diagnostic, LLC

  • Phlebotomy Technician
  • Grantsboro, NC
  • NPI 1033736822
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1164058186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 NC 55 HWY STE 7",
            "city": "GRANTSBORO",
            "state": "NC",
            "postal_code": "285299447",
            "telephone_number": "252-242-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 NC 55 HWY STE 7",
            "city": "GRANTSBORO",
            "state": "NC",
            "postal_code": "285299447",
            "telephone_number": "252-242-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKMAN",
        "first_name": "RENITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC5411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Corforte, LCMHCA
• Goshen Medical Center, Incorporated (Goshen Medical Center - Grantsboro)
• Grantsboro Opco Holdings (Gardens of Pamlico)
• In Home Aide Care, Inc.
• Kelsey Keller
• Michael Peter Kontaxes, RPH
• Magnolia Woods Senior Village, Inc (The Gardens of Pamlico)
• Holly Minnifield
• Darlene Molett, PHARM D
• Monarch

• In Home Supportive Care Agency in Grantsboro, NC
• Providers in Grantsboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.