Lateefah Khadejah Irvine

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LATEEFAH KHADEJAH IRVINE

Practice address

1406 E Shine St
Kinston, NC 28501-5836

Phone

(252) 527-0438

Fax

(252) 527-0433

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Lateefah Khadejah Irvine

Title

Owner

Phone

(973) 393-5188

Specialties & licenses 1

Addresses

Other names 1

• Legacy Memory Care at Kinston, LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1760085542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 LENA LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346163",
            "telephone_number": "973-393-5188",
            "fax_number": "252-527-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E SHINE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285015836",
            "telephone_number": "252-527-0438",
            "fax_number": "252-527-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATEEFAH KHADEJAH IRVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "IRVINE",
        "authorized_official_first_name": "LATEEFAH",
        "authorized_official_middle_name": "KHADEJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-393-5188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Memory Care at Kinston, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mia Nichole Lanier-Williams, LMFT
• Stephanie P. Lanier, ED.D., LPC
• Lawrence Norman Larabee Jr., MD
• Holly Laroque, RPH
• Sabrina Lasseter, FNP-BC
• Peter R Later, DO
• Corey Danyall Lawson
• Jason Evan Lee, M.D.
• Felicia L Legette
• Mary Alice Leinonen, PT

• Adult Care Home Facility in Kinston, NC
• Providers in Kinston, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.