RJR KALLI, LLC (NPI# 1972143600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972143600 |
| Entity Type | Organization |
| Organization Name | RJR KALLI, LLC |
| Other Organization Name | RJR KALLIE HEALTHCARE |
| Practice Address |
113 N Railroad St Magnolia NC 28453 |
| Mailing Address |
1114 Elizabeth St Goldsboro NC 27530-1940 |
| Practice Telephone | 9197507195 |
| Mailing Telephone | 9197507195 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | KEITH PETEN (AGENCY DIRECTOR) |
| Authorized Official Telephone | 9197507195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| RJR Kallie Healthcare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1114 Elizabeth St, Goldsboro, NC 275301940 | 9197507195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103081 | Rjr Kalli, LLC | In Home Supportive Care | 615 Saint George Square Ct Ste 312, Winston Salem, NC 27103-1368 | 2020-01-13 |
| Street Address |
113 N RAILROAD ST |
| City | MAGNOLIA |
| State | NC |
| Zip Code | 28453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871798652 | Duplin Sampson Group Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 240 N Peterson St, Magnolia, NC 28453 | 2007-06-20 |
| 1942350806 | Helping Hands Care Management Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 210 Betholite Rd, Magnolia, NC 28453-8506 | 2007-01-11 |
| 1205230059 | Sharon Murray | Occupational Therapy Assistant | 503 S Monk St, Magnolia, NC 28453-8783 | 2014-10-21 |
| 1164861936 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1001 S Nc Highway 50, Magnolia, NC 28453-8835 | 2013-06-14 |
| 1649602772 | Stephanie Renee Wilson | Physical Therapy Assistant | 3146 S Us Highway 117, Magnolia, NC 28453-8974 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1902405905 | Cambron Counseling | Counselor | 33300 Egypt Ln Ste K900, Magnolia, TX 77354-3338 | 2020-10-21 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1497353411 | Evarose Terese Pepin | Behavior Technician | 31218 W Timberloch Trl, Magnolia, TX 77355-5871 | 2020-10-12 |
| 1063019784 | Charlene Phillips | Psychologist | 702 Woodlytown Rd, Magnolia, DE 19962-1622 | 2020-10-06 |
| 1841897048 | Farida Abdalla | Psychologist | 529 W Birdie Ln, Magnolia, DE 19962-3116 | 2020-10-01 |
| 1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
| 1962019992 | Nina Galvan | Psychologist | 19 Edgewater Dr, Magnolia, DE 19962-9706 | 2020-09-24 |
| 1053926550 | Privia Medical Group Gulf Coast, Pllc | Internal Medicine | 10020 Research Forest Dr Ste D, Magnolia, TX 77354-6780 | 2020-09-11 |
| Find all providers in MAGNOLIA | ||||
| 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 |
|---|---|---|---|---|
| 1336759018 | Kingdom House LLC | In Home Supportive Care | 309 E Bay St, Magnolia, MS 39652-2815 | 2020-08-06 |
| 1568009918 | Tailored Care LLC | In Home Supportive Care | 85 Point Landing Ln, Magnolia, DE 19962-2800 | 2019-12-04 |
| 1396396420 | Southern Caregivers, Ltd | In Home Supportive Care | 710 Sue, Magnolia, AR 71753-2127 | 2019-09-20 |
| 1528534369 | Woodlands Golden Healthcare Inc | In Home Supportive Care | 19 Bowerbank Ct, Magnolia, TX 77354-3281 | 2018-10-19 |
| 1801276860 | Arc of Camden County - Sherwood Gh | In Home Supportive Care | 611 Sherwood Rd, Magnolia, NJ 08049-1126 | 2015-06-04 |
| 1588908206 | Fox E Enterprises, LLC | In Home Supportive Care | 32815 Tamina Rd, Suite A, Magnolia, TX 77354-3394 | 2012-11-19 |
| 1437378379 | South Jersey Behavioral Health Resources Incorporated | In Home Supportive Care | 212 Madison Ave E, Magnolia, NJ 08049-1409 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487196 | Dublin Home Care, LLC | In Home Supportive Care | 112 King William Rd, Raleigh, NC 27610-1802 | 2020-11-03 |
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1275132821 | Infinite Favor Home Care Services LLC | In Home Supportive Care | 4373 Auburn Hills Dr, Raleigh, NC 27616-9309 | 2020-10-23 |
| 1043819972 | Natasha Lavinya Morgan | In Home Supportive Care | 915 First Tee Dr, High Point, NC 27263-2388 | 2020-10-21 |
| 1629677851 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1415 W Nc Highway 54 Ste 209, Durham, NC 27707-5597 | 2020-10-19 |
| 1417555848 | Fumani Investment LLC | In Home Supportive Care | 4822 Albemarle Rd Ste 280-b, Charlotte, NC 28205-6668 | 2020-10-16 |
| 1447858493 | Concept of Care Inc | In Home Supportive Care | 5115 Osage Cir, Charlotte, NC 28269-4693 | 2020-10-13 |
| 1780282723 | Kate Lyons | In Home Supportive Care | 5440 Atlantic Springs Rd Ste 109, Raleigh, NC 27616-1855 | 2020-10-12 |
| 1588261549 | Alliance Group 1 Home Care LLC | In Home Supportive Care | 244 Audubon Dr, Raeford, NC 28376-7269 | 2020-10-02 |
| 1598362741 | Quality Care Health Services Inc. | In Home Supportive Care | 301 S Church St Ste 168, Rocky Mount, NC 27804-5748 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.