RJR KALLIE HEALTHCARE
NPI 1972143600
In Home Supportive Care in Magnolia, NC

Active since January 10, 2020
113 N RAILROAD ST, MAGNOLIA, NC 28453(919) 750-7195 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2020, Jan 10, 2020 (2 updates tracked since 2020).

About Rjr Kallie Healthcare NPPES

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

RJR KALLIE HEALTHCARE (NPI 1972143600) is a healthcare organization registered as an in home supportive care in Magnolia, North Carolina and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Goldsboro and lists Keith Peten, Agency Director, as its authorized official.

NPPES Registry Identity

NPI1972143600
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameRJR KALLI, LLC
Location Address113 N RAILROAD STMagnolia, NC 28453
Mailing Address1114 Elizabeth StGoldsboro, NC 27530-1940 · (919) 750-7195
Organization SubpartNo
Authorized OfficialKeith PetenAgency Director · (919) 750-7195
Enumeration DateJanuary 10, 2020
Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration
NPI 1972143600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
113 N RAILROAD ST, Magnolia, NC 28453

Other Names 1

Doing Business AsRjr Kallie Healthcare

Secondary Practice Location 1

Location 11114 Elizabeth StGoldsboro, NC 27530-1940 · Phone (919) 750-7195

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 Rjr Kalli, LLC's NPI number?

The NPI number for Rjr Kalli, LLC is 1972143600. It was assigned to this organization in the NPPES registry on January 10, 2020. The provider is doing business as Rjr Kallie Healthcare.

Where is Rjr Kalli, LLC located?

Rjr Kalli, LLC is located at 113 N Railroad St, Magnolia, NC 28453. The listed phone number is (919) 750-7195.

What is Rjr Kalli, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Rjr Kalli, LLC was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.