Healthcare Provider Details

I. General information

NPI: 1124932868
Provider Name (Legal Business Name): KINGS & QUEENS HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 MCDUFFERS RD
ROCKY MOUNT NC
27804-9652
US

IV. Provider business mailing address

1225 MCDUFFERS RD
ROCKY MOUNT NC
27804-9652
US

V. Phone/Fax

Practice location:
  • Phone: 252-969-3840
  • Fax:
Mailing address:
  • Phone: 252-969-3840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. TONY BARNES
Title or Position: CEO
Credential:
Phone: 252-969-3840