Active NPI
John Agwu Kalu
- Home Health Agency
- Raleigh, NC
National Provider Identifier
1043885411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC5847
- Practice address
- 5300 Six Forks Rd Ste 205
Raleigh, NC 27609-4465 - Phone
- (984) 238-4248
- NPI assigned
- May 26, 2021
- Last updated
- May 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC5847 | NC | Primary |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
5300 Six Forks Rd Ste 205
Raleigh, NC 27609-4465
Mailing address
5300 Six Forks Rd Ste 205
Raleigh, NC 27609-4465
Phone (984) 238-4248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC5847 | NC | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trubenefit Home Care LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
5300 Six Forks Rd
Ste 205
Raleigh, NC 27609
Phone (919) 785-0040
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Raleigh, NC
- NPI 1811564867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1043885411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 SIX FORKS RD STE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094465",
"telephone_number": "984-238-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 SIX FORKS RD STE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094465",
"telephone_number": "984-238-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALU",
"first_name": "JOHN",
"middle_name": "AGWU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC5847",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Kaleidoscope Cares Therapeutic Services
- Kathryn Margaret Kalinga, OTR
- Alison Kay Kalinowski, MD
- Carmin Marco Kalorin, MD
- Melia Johnson Kalsbeek, NP
- Ndukwe Bassey Kalu
- Kalyani Senior Services Co. (Always Best Care Senior Services Co.)
- Wayneho Kam, M.D.
- Vanessa Kamashara, LCSWA, LCASA
- Mawiyah Kambon, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.