Organization Active NPI

St Home Healthcare Services LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1063136885
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ST HOME HEALTHCARE SERVICES LLC
Practice address
3900 Merton Dr Ste 130
Raleigh, NC 27609-6636
Phone
(984) 242-4742
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Jude C Nwaodu
Title
Director
Phone
(919) 618-8033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3900 Merton Dr Ste 130
Raleigh, NC 27609-6636

Mailing address

3900 Merton Dr Ste 130
Raleigh, NC 27609-6636
Phone (984) 242-4742

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1063136885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 MERTON DR STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096636",
            "telephone_number": "984-242-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 MERTON DR STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096636",
            "telephone_number": "984-242-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "NWAODU",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-618-8033"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 27, 2022; 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.