Active NPI
Keandre Desmond Raiford
- Homemaker
- Clayton, NC
National Provider Identifier
1689328569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 11448 US 70 Business Hwy W Ste C
Clayton, NC 27520-2208 - Phone
- (919) 464-6979
- NPI assigned
- Feb 9, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
11448 US 70 Business Hwy W Ste C
Clayton, NC 27520-2208
Mailing address
PO Box 344
Wilsons Mills, NC 27593-0344
Phone (919) 464-6979
Other practice location 1
11448 US 70 Business Hwy W Ste C
Clayton, NC 27520-2208
Phone (919) 464-6979
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Current | Accepting new patients | ||
| Resilience Services | Current | Accepting new patients | |
| Primary Choice Home Care | Homemaker | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Clayton, NC
- NPI 1790599207
-
- Child Mental Illness Respite Care
- Clayton, NC
- NPI 1225903024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689328569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 344",
"city": "WILSONS MILLS",
"state": "NC",
"postal_code": "275930344",
"telephone_number": "919-464-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11448 US 70 BUSINESS HWY W STE C",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202208",
"telephone_number": "919-464-6979"
}
],
"practiceLocations": [
{
"address_1": "11448 US 70 Business Hwy W Ste C",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "NC",
"postal_code": "275202208",
"country_code": "US",
"telephone_number": "919-464-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAIFORD",
"first_name": "KEANDRE",
"middle_name": "DESMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-09",
"last_updated": "2025-09-11",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.