=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083436299
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RIMS HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/29/2024
-----------------------------------------------------
Last Update Date | 03/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7434 ROSEPATH LN
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77406-5820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-252-2332
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5614 W GRAND PKWY S STE 102
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77406-5820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-252-2332
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / PROVIDER
-----------------------------------------------------
Name | MRS. CARRETTA LEE MWESIGA
-----------------------------------------------------
Credential | MSN, APRN, FNP-BC
-----------------------------------------------------
Telephone | 864-252-2332
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------