Organization Active NPI

Akulisny Enterprise LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1083045934
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AKULISNY ENTERPRISE LLC
Doing business as
akulisny enterprise llc
Practice address
3225 Groveshire Dr
Raleigh, NC 27616-8391
Phone
(919) 645-8934
Fax
(877) 461-2908
NPI assigned
Dec 3, 2013
Last updated
Sep 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Lisa Oliver
Title
Ceo/MGR
Phone
(919) 645-8934

Specialties & licenses 1

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

Addresses

Primary practice location

3225 Groveshire Dr
Raleigh, NC 27616-8391

Mailing address

3225 Groveshire Dr
Raleigh, NC 27616-8391
Phone (919) 645-8934

Other names 1

  • akulisny enterprise llc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Akulisny Enterprise LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1083045934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 GROVESHIRE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168391",
            "telephone_number": "919-645-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 GROVESHIRE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168391",
            "telephone_number": "919-645-8934",
            "fax_number": "877-461-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKULISNY ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO/MGR",
        "authorized_official_telephone_number": "919-645-8934"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "akulisny enterprise llc",
            "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 Sep 4, 2015; 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.