Provider Demographics
NPI:1053203083
Name:RECTITUDE SENIOR CARE AGENCY LLC
Entity type:Organization
Organization Name:RECTITUDE SENIOR CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MATELITA
Authorized Official - Middle Name:FUNAKI
Authorized Official - Last Name:KINIKINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-503-8398
Mailing Address - Street 1:1113 S TRAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64050-4871
Mailing Address - Country:US
Mailing Address - Phone:503-839-8643
Mailing Address - Fax:
Practice Address - Street 1:1113 S TRAIL RIDGE DR
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64050-4871
Practice Address - Country:US
Practice Address - Phone:503-839-8643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care