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LATEEFAH KHADEJAH IRVINE
NPI 1760085542
Custodial Care Facility - Adult Care Home in Kinston, NC

Active since November 16, 2020
1406 E SHINE ST, KINSTON, NC 28501(252) 527-0438(252) 527-0433 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2025, Nov 16, 2020 (2 updates tracked since 2020).

About Lateefah Khadejah Irvine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATEEFAH KHADEJAH IRVINE (NPI 1760085542), doing business as Legacy Memory Care At Kinston, Llc, is a healthcare organization registered as an adult care home in Kinston, North Carolina and active in the NPI registry since November 2020. The organization lists Lateefah Khadejah Irvine, Owner, as its authorized official.

NPPES Registry Identity

NPI1760085542
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLATEEFAH KHADEJAH IRVINE
Location Address1406 E SHINE STKinston, NC 28501-5836
Mailing Address3532 Lena LnGreenville, NC 27834-6163 · (973) 393-5188 · Fax (252) 527-0433
Phone(252) 527-0438
Fax(252) 527-0433
Organization SubpartNo
Authorized OfficialLateefah Khadejah IrvineOwner · (973) 393-5188
Enumeration DateNovember 16, 2020
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1760085542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1406 E SHINE ST, Kinston, NC 28501
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Other Names 1

Doing Business AsLegacy Memory Care At Kinston, Llc

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRINITY MANOR INC.
Assisted Living Facility
1406 E SHINE ST
KINSTON, NC 28501
Lenoir County (252) 527-0438
TRINITY MANOR OF KINSTON
Clinic/Center (Health Service)
1406 E SHINE ST
KINSTON, NC 28501
Lenoir County (252) 527-0438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lateefah Khadejah Irvine's NPI number?

The NPI number for Lateefah Khadejah Irvine is 1760085542. It was assigned to this organization in the NPPES registry on November 16, 2020. The provider is doing business as Legacy Memory Care at Kinston, LLC.

Where is Lateefah Khadejah Irvine located?

Lateefah Khadejah Irvine is located at 1406 E Shine St, Kinston, NC 28501. The listed phone number is (252) 527-0438.

What is Lateefah Khadejah Irvine's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Lateefah Khadejah Irvine was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.