KWEEN5464 CORPORATION (NPI# 1912535097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912535097 |
| Entity Type | Organization |
| Organization Name | KWEEN5464 CORPORATION |
| Other Organization Name | AT HOME ELDERCARE OF WINSTON SALEM |
| Practice Address |
1826 E 4th St Winston Salem NC 27101-4606 |
| Mailing Address |
Po Box 561 Winston Salem NC 27102-0561 |
| Practice Telephone | 3365829156 |
| Practice Fax Number | 8886821348 |
| Mailing Telephone | 3365829156 |
| Mailing Fax Number | 8886821348 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | MS. KIMBERLY PETTIGREW (OWNER/DIRECTOR) |
| Authorized Official Telephone | 3365829156 |
| Is Organization Subpart | Y |
| Parent Organization Name | KWEEN5464 CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| At Home Eldercare of Winston Salem | Doing Business As Name - Organization |
| Street Address |
1826 E 4TH ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557333 | Pats Home Health Care | In Home Supportive Care | 5270 Germanton Rd Ste 207, Winston Salem, NC 27105-1616 | 2020-08-04 |
| 1578103081 | Rjr Kalli, LLC | In Home Supportive Care | 615 Saint George Square Ct Ste 312, Winston Salem, NC 27103-1368 | 2020-01-13 |
| 1811556822 | Anna Maria Symns | In Home Supportive Care | 5270 Germanton Rd Ste 200, Winston Salem, NC 27105-1616 | 2019-06-12 |
| 1235648460 | Marlene Fayette Jones | In Home Supportive Care | 2919 N Glenn Ave, Winston Salem, NC 27105-4410 | 2017-09-20 |
| 1285154161 | Ruth Muze | In Home Supportive Care | 1922 S Martin Luther King Jr Dr Ste 47, Winston Salem, NC 27107-1361 | 2017-06-22 |
| 1316486590 | A Primary Choice, Inc. | In Home Supportive Care | 1922 S Martin Luther King Jr Dr Ste 23, Winston Salem, NC 27107-1361 | 2017-02-21 |
| 1255705455 | Gane Home Care Inc. | In Home Supportive Care | 1540 Westbrook Plaza Dr, Suite 104, Winston Salem, NC 27103-1331 | 2015-11-25 |
| 1154706448 | Latonya Yvette Anderson | In Home Supportive Care | 615 Saint George Square Ct, Suite 300, Winston Salem, NC 27103-1356 | 2015-07-28 |
| 1831588904 | Human Service Connections - Winston Salem, LLC | In Home Supportive Care | 154 Baxter Rd, Winston Salem, NC 27107-7502 | 2015-01-13 |
| 1689016586 | Anue, Inc. | In Home Supportive Care | 4400 Silas Creek Pkwy, Suite 100, Winston Salem, NC 27104-3823 | 2013-07-22 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
Please comment or provide details below to improve the information on KWEEN5464 CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.