Kinship Individualized Supportive Services Inc

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

KINSHIP INDIVIDUALIZED SUPPORTIVE SERVICES INC

Practice address

21407 Raymond St
Maple Heights, OH 44137-2154

Phone

(216) 799-8085

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Renita Chirstel Allen, LISWNPI 1164606547

Title

President/Ceo

Phone

(216) 799-8085

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renita Christel Allen, LISW-S

  • Clinical Social Worker
  • Maple Heights, OH
  • NPI 1164606547
  NPD (past) Authorized official

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1427232800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21407 RAYMOND ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372154",
            "telephone_number": "216-799-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21407 RAYMOND ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372154",
            "telephone_number": "216-799-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSHIP INDIVIDUALIZED SUPPORTIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "RENITA",
        "authorized_official_middle_name": "CHIRSTEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "216-799-8085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidiky Kima
• Teara Kimble-Jones
• Jayree Tarrell Kimbro
• Lasandra Kindred, LPN
• Jasmaine S King
• Marcus J Kline Sr., STNA
• Tavitta C Kline
• Richelle M. Knight
• Michelle Knowles, HOME CARE PROVIDER
• Shanese Knowles

• Supports Brokerage Agency in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Supports Brokerage Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.