NPIMap

Organization Active NPI

Real Care Agency LLC

  • Preferred Provider Organization
  • Cleveland, OH
National Provider Identifier
1831586577
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2307679 Issued in OH
Legal business name
REAL CARE AGENCY LLC
Practice address
4573 Lee Rd
Cleveland, OH 44128-3757
Phone
(800) 722-7164
Fax
(877) 437-4383
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Ms. Kimberly Marie Barnes, CPI, BS, MA, HHA
Title
Ceo/ Management
Phone
(800) 722-7164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2307679 OH Primary

Addresses

Primary practice location

4573 Lee Rd
Cleveland, OH 44128-3757

Mailing address

17120 Queen Victoria Court
# 301
Gaithersburg, MD 20877
Phone (800) 722-7164

National Provider Directory

National Provider Directory
Tax ID family
Real Care Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4573 Lee Rd
Cleveland, OH 44128
Phone (800) 722-7164

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1831586577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17120 QUEEN VICTORIA COURT",
            "address_2": "# 301",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "800-722-7164",
            "fax_number": "877-437-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4573 LEE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283757",
            "telephone_number": "800-722-7164",
            "fax_number": "877-437-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/ MANAGEMENT",
        "authorized_official_telephone_number": "800-722-7164",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPI, BS, MA, HHA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "2307679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.