Kinillie Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-033-015 Issued in NC

Legal business name

KINILLIE FAMILY CARE HOME

Practice address

448 Pleasant Hill Rd
Rocky Mount, NC 27801-8708

Phone

(252) 955-3719

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Kineshia Harris

Title

Administrator

Phone

(252) 955-3719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1891235818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 NC HIGHWAY 33 E",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278868976",
            "telephone_number": "252-955-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 PLEASANT HILL RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278018708",
            "telephone_number": "252-955-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINILLIE FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KINESHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-955-3719"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-033-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Heyoung Kim, D.D.S.
• John P Kim, DDS
• Mark Troy Kimpton, MD
• Briana Lorraine King, LCSWA
• Marona King
• Paul M Kinnaird, MD
• Kiononia Haven Homes, LLC
• Brianne C Klinger, PMHNP-BC, FNP-BC
• KLW Home for U, LLC
• Emily Maye Knight, PA-C

• Adult Care Home Facility in Rocky Mount, NC
• Providers in Rocky Mount, 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 Feb 24, 2017; 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.