Israel Ojimadu, CEO

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

9200 Sayornis CT
Raleigh, NC 27615-8114

Phone

(919) 247-8391

NPI assigned

Dec 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victory Residential Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
  • NPI 1548592215
  NPD (past)

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1073842324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 KNIGHTDALE BLVD",
            "address_2": "SUITE 101",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458894",
            "telephone_number": "919-266-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SAYORNIS CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276158114",
            "telephone_number": "919-247-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJIMADU",
        "first_name": "ISRAEL",
        "credential": "CEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409683",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Seoyjong Oh, MD
• Rachael Day Ohlman, M.ED. CCC-SLP
• Ohm Patel, DDS, PLLC
• Melanie Ojeda
• Jude Ogochukwu Ojie, M.D.
• Adewumi Gabriel Ojo
• Anthony Onyeisi Okade, NURSE PRACTITIONER
• Crystal Udunma Okafor, DNP, PMHNP-BC
• Francisca Okafor, AGENCY DIRECTOR
• Kimberly Okafor, RN

• Personal Care Attendant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.