Active NPI
Marlene Renita Harrison
- Adult Care Home Facility
- Reidsville, NC
National Provider Identifier
1619510237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL-079-113
- Practice address
- 814 Lindsey St
Reidsville, NC 27320-3112 - Phone
- (336) 280-1358
- Fax
- (336) 347-0248
- NPI assigned
- Oct 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL-079-113 | NC | Primary |
Addresses
Primary practice location
814 Lindsey St
Reidsville, NC 27320-3112
Mailing address
814 Lindsey St
Reidsville, NC 27320-3112
Phone (336) 280-1358
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | renita@harrisonscaringhands.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FCL-079-113 | NC | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1619510237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 LINDSEY ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273203112",
"telephone_number": "336-280-1358",
"fax_number": "336-347-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 LINDSEY ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273203112",
"telephone_number": "336-280-1358",
"fax_number": "336-347-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "MARLENE",
"middle_name": "RENITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-27",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "FCL-079-113",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "renita@harrisonscaringhands.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "145 Durhams Trl",
"city": "Reidsville",
"state": "NC",
"country_code": "US",
"postal_code": "273208290",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Reidsville, NC
- Keith Daniel Hairston, LCMHCA
- John Zachariah Hall II, M.D.
- Steven James Halm, D.O.
- Hand & Rehabilitation Specialists of North Carolina LLP
- Janaye Shatoya Hargrave, LCSWA
- Stanley Eugene Harrison Jr., M.D.
- Harrisons Caring Hands
- Harrisons Caring Hands 2 LLC
- Harrisons Caring Hands 4 LLC
- Harrisons Caring Hands 5 LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.