Organization Active NPI

K.I.M.S-Keeping It Medical Services PLLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1962225144
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
K.I.M.S-KEEPING IT MEDICAL SERVICES PLLC
Practice address
867 Bedrock Dr
Fayetteville, NC 28303-2561
Phone
(910) 747-7741
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Yirosha Kim Wembley, RN
Title
Ceo
Phone
(910) 747-7741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

867 Bedrock Dr
Fayetteville, NC 28303-2561

Mailing address

867 Bedrock Dr
Fayetteville, NC 28303-2561
Phone (910) 747-7741

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1962225144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 BEDROCK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032561",
            "telephone_number": "910-747-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BEDROCK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032561",
            "telephone_number": "910-747-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.I.M.S-KEEPING IT MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WEMBLEY",
        "authorized_official_first_name": "YIROSHA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-747-7741",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.