Look up the most recent NPI and PECOS records

Renita Maiten

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Renita Maiten is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1306238498
Provider Type
Individual
Full Name
Maiten, Renita
Gender
Female

Sole Proprietor
Yes
Enumeration Date
2/26/2015
Last Updated
6/11/2018

Contact Information

Practice Location

1265 Union Ave, Memphis, TN 38104

(662) 388-5902

Unlisted Fax

Mailing Location

9964 Woodland Bend Dr, Lakeland, TN 38002-3815

(662) 388-5902

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6225 Tennessee

Renita Maiten

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hughey, Lillie Irene

Pennie S Heath Lcsw Llc

Dill, Sarah Jo Ann

Ard, William Kerrel

Reece, Amber

Wenzel, Seth A

Tanner, Amy Elise

Shurling, Dabney

Dupree, Breisha

Mccaskill, Lavera G