KEEN SUPPORTS AND SERVICES LLC NPI 1164152633

NPI Information

NPI: 1164152633
Provider Name: KEEN SUPPORTS AND SERVICES LLC
Classification: Driver - 172A00000X
Entity Type: Organization
Address:
513 BOARDWALK DR
WAKE FOREST, NC
ZIP 27587
Phone: (919) 758-6338
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KEEN SUPPORTS AND SERVICES LLC is a driver in Wake Forest, NC. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. KEEN SUPPORTS AND SERVICES LLC NPI is 1164152633. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

513 BOARDWALK DR
WAKE FOREST, NC
ZIP 27587-909
Phone: (919) 758-6338

The provider's authorized official is Dianah Jones .
The authorized official title is Owner and has the following contact phone number (919) 758-6338.

The enumeration date for this NPI number is 6/16/2022 and was last updated on 6/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	No
2	133NN1002X	Nutritionist	Nutrition, Education	No
3	163WC0400X	Registered Nurse	Case Management	No
4	171400000X	Health and Wellness Coach		No
5	225X00000X	Occupational Therapist		No
6	235Z00000X	Speech-Language Pathologist		No
7	251B00000X	Case Management		No
8	251K00000X	Public Health or Welfare		No
9	251S00000X	Community/Behavioral Health		No
10	251V00000X	Voluntary or Charitable		No
11	252Y00000X	Early Intervention Provider Agency		No
12	343800000X	Secured Medical Transport (VAN)		No
13	343900000X	Non-emergency Medical Transport (VAN)		No
14	347C00000X	Private Vehicle		No
15	172A00000X	Driver		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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