Renita Kirkman
Individual provider Active NPI In Home Supportive Care Agency · Grantsboro, NC
NPI 1164058186 · NPPES record last updated Mar 21, 2020
Key facts
- NPI
- 1164058186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- HC5411 (NC)
- Practice address
- 11560 NC 55 Hwy Ste 7
Grantsboro, NC 28529-9447 - Phone
- (252) 242-0088
- NPI assigned
- Mar 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC5411 | NC | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Adult and Senior Services LLC | In Home Supportive Care | Current |
Accepting new patients |
| Cannon Ridge Diagnostic, LLC | Current |
Accepting new patients |
Locations
11560 NC 55 Hwy
Ste 7
Grantsboro, NC 28529
Phone (252) 242-0088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HC5411 | NC | Yes |
Addresses
Primary practice location
11560 NC 55 Hwy Ste 7
Grantsboro, NC 28529-9447
Mailing address
11560 NC 55 Hwy Ste 7
Grantsboro, NC 28529-9447
Phone (252) 242-0088
Other providers in Grantsboro, NC
- Melissa Corforte
- Goshen Medical Center, Incorporated
- Grantsboro Opco Holdings
- In Home Aide Care, Inc.
- Kelsey Keller
- Michael Peter Kontaxes
- Magnolia Woods Senior Village, Inc
- Holly Minnifield
- Darlene Molett
- Monarch
All providers in Grantsboro, NC · In Home Supportive Care Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.