Idella's Care Homes LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IDELLA'S CARE HOMES LLC

Practice address

3219 Landmark St Ste 2B
Greenville, NC 27834

Phone

(252) 213-6081

Fax

(252) 689-6668

NPI assigned

Aug 9, 2017

Organization subpart

No

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

Authorized official

Name

Eunice Essien-Hart

Title

Owner

Phone

(252) 213-6081

Specialties & licenses 1

Addresses

Tax ID family

Idella Care Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Idella Care Homes

  dba Idella's home

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1821514266
  NPD tax ID
• Idella's Care Home

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1669998001
  NPD tax ID

Locations

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1093230245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 LANDMARK ST STE 2B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347688",
            "telephone_number": "252-213-6081",
            "fax_number": "252-689-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 LANDMARK ST STE 2B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-213-6081",
            "fax_number": "252-689-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDELLA'S CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "ESSIEN-HART",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-213-6081"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Iannettoni, MD
• Stephanie Giselle Ibarra Lepe, MD
• Alaa Ibrahim
• Idella Care Homes (Idella's home)
• Idella's Care Home
• Idella's Home
• Natachinkeonyere Iheanacho
• Adanna Victoria Iloabachie
• Nancy Chizorom Imoh
• Imperative Changes Outreach

• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.