Active NPI
K.I.M.S-Keeping It Medical Services PLLC
- In Home Supportive Care Agency
- Fayetteville, NC
National Provider Identifier
1962225144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.