Organization Active NPI

Preeminent Home and Senior Care Serivces

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1083479968
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PREEMINENT HOME AND SENIOR CARE SERIVCES
Practice address
4921 Professional CT Ste 201E
Raleigh, NC 27609-4913
Phone
(252) 258-6367
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Mr. Antoine Lamont RountreeNPI 1942065800
Title
Agency Director
Phone
(252) 258-6367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4921 Professional CT Ste 201E
Raleigh, NC 27609-4913

Mailing address

4921 Professional CT Ste 201E
Raleigh, NC 27609-4913

National Provider Directory

National Provider Directory

Locations

4921 Professional Ct
Ste 201E
Raleigh, NC 27609
Phone (252) 258-6367

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1083479968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PROFESSIONAL CT STE 201E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PROFESSIONAL CT STE 201E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094913",
            "telephone_number": "252-258-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREEMINENT HOME AND SENIOR CARE SERIVCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "ROUNTREE",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "252-258-6367",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Feb 19, 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.

Verify at the official NPI Registry.