Organization · NPI-2
Rayna'S Home Care, LLC
In Home Supportive Care · Windsor, NC
NPI number1346854304
StatusActive
Last updated in NPPESAug 22, 2022
Details
- NPI
- 1346854304
- Entity type
- Organization (NPI-2)
- Legal business name
- Rayna'S Home Care, LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2020
- Certification date
- Aug 22, 2022
- Last updated
- Aug 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 164W00000X | Licensed Practical Nurse | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 372600000X | Adult Companion | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
126 E Granville St Ste 1&2Windsor, NC 27983-6754
Phone 252-794-1213
Mailing address
Po Box 1158Windsor, NC 27983-1158
Phone 252-794-1213
Other practice locations
823 North Elm Street
Greensboro, NC 27401
Greensboro, NC 27401
Phone 910-445-6440
Authorized official
Latraikeyonnia Pridgen Evans
Agency Director
2527941213
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