Benita Grant

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

117 Opossum Trot CT
Rocky Mount, NC 27804-9072

Phone

(252) 200-4143

NPI assigned

Feb 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• KLW Home for U, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Rocky Mount, NC
  • NPI 1568226165
  NPD Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1801650403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 SUNSET AVE UNIT 7072",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040105",
            "telephone_number": "252-606-4484",
            "fax_number": "252-606-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OPOSSUM TROT CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049072",
            "telephone_number": "252-200-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BENITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graca Holdings LLC
• Grace
• Grace Givers, LLC
• Zaniyah D Graham
• Erin Graney, MSW, LCSW
• James W Grant, MD
• Steven Ward Grant, MD
• Grateful Hearts Home Care LLC
• Robin Gray
• Lisa Renee Green, DNP, PMHNP

• Case Manager/Care Coordinator in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.