OrganizationActive
Kween5464 Corporation
NPI 1912535097 · In Home Supportive Care Agency · Winston Salem, NC
Kween5464 Corporation is a In Home Supportive Care Agency organization in Winston Salem, NC (NPI 1912535097).
Provider details
- NPI number
- 1912535097
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Parent organization
- Kween5464 Corporation
- Organization subpart
- Yes
- Authorized official
- Kimberly Pettigrew, Owner/Director(336) 582-9156
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1826 E 4th St
Winston Salem, NC 27101-4606
Phone: (336) 582-9156
Fax: (888) 682-1348
Street-level locationGet directions
Mailing address
Po Box 561
Winston Salem, NC 27102-0561
Other names (DBA / former)
- Doing business as
- At Home Eldercare of Winston Salem
- Doing business as
- At Home Eldercare of Winston Salem
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2021-08-09
- Certified
- 2021-08-09
Frequently asked questions
- What is Kween5464 Corporation's NPI number?
- Kween5464 Corporation's National Provider Identifier (NPI) is 1912535097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kween5464 Corporation?
- Kween5464 Corporation is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Kween5464 Corporation located?
- Kween5464 Corporation's practice location on file with NPPES is 1826 E 4th St, Winston Salem, NC 27101-4606.
- What is Kween5464 Corporation's phone number?
- The practice phone number listed in the NPPES registry for Kween5464 Corporation is (336) 582-9156.
- Who is the authorized official for Kween5464 Corporation?
- The authorized official listed on Kween5464 Corporation's NPPES record is Kimberly Pettigrew, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kween5464 Corporation's NPI active?
- Yes — Kween5464 Corporation's NPI (1912535097) is active in the NPPES registry as of the last update on 2021-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.