Organization Active NPI

Coark Inc

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1003202755
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4749 Issued in NC
Legal business name
COARK INC
Practice address
3535 S Wilmington St
Suite 210
Raleigh, NC 27603-3562
Phone
(919) 395-5202
NPI assigned
Apr 9, 2015
Organization subpart
Yes
Parent organization
COARK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Walter AdigweNPI 1962260406
Title
Director
Phone
(919) 395-5202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4749 NC Primary

Addresses

Primary practice location

3535 S Wilmington St
Suite 210
Raleigh, NC 27603-3562

Mailing address

6711 Harter CT
Raleigh, NC 27610-6589
Phone (919) 395-5202

Other names 1

  • COARK HOME CARE Doing business as

National Provider Directory

National Provider Directory
Part of
Coark Inc

Locations

3535 S Wilmington St
Ste 210
Raleigh, NC 27603
Phone (919) 395-5202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1003202755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 HARTER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106589",
            "telephone_number": "919-395-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S WILMINGTON ST",
            "address_2": "SUITE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033562",
            "telephone_number": "919-395-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COARK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COARK INC",
        "enumeration_date": "2015-04-09",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "ADIGWE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-395-5202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COARK HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COARK HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.