Active NPI
Supportive Services
- Adult Care Home Facility
- Raleigh, NC
National Provider Identifier
1033937818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- SUPPORTIVE SERVICES
- Practice address
- 6408 Willow Fox CT
Raleigh, NC 27616-6359 - Phone
- (919) 757-3067
- NPI assigned
- Sep 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Iheoma Nnenna Alaribe
- Title
- President
- Phone
- (919) 757-3067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
6408 Willow Fox CT
Raleigh, NC 27616-6359
Mailing address
3064 Wake Forest Rd # 1140
Raleigh, NC 27609-7844
Phone (919) 757-3067
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727654400000",
"number": "1033937818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3064 WAKE FOREST RD # 1140",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097844",
"telephone_number": "919-757-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6408 WILLOW FOX CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276166359",
"telephone_number": "919-757-3067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A",
"authorized_official_last_name": "ALARIBE",
"authorized_official_first_name": "IHEOMA",
"authorized_official_middle_name": "NNENNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-757-3067",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.