Organization Active NPI

Mayberry Vested Interests, Inc

  • Home Health Agency
  • Cary, NC
National Provider Identifier
1093289506
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAYBERRY VESTED INTERESTS, INC
Practice address
102 Commonwealth CT Ste K
Cary, NC 27511-4437
Phone
(919) 535-6787
Fax
(919) 650-1345
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Mr. Steven Hailey, AGENCY DIRECTOR
Title
Owner
Phone
(919) 535-6787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

102 Commonwealth CT Ste K
Cary, NC 27511-4437

Mailing address

102 Commonwealth CT Ste K
Cary, NC 27511-4437
Phone (919) 535-6787

Other names 1

  • BrightStar Care of Cary Doing business as

National Provider Directory

National Provider Directory

Locations

102 Commonwealth Ct
Ste K
Cary, NC 27511
Phone (919) 535-6787

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": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1093289506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COMMONWEALTH CT STE K",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114437",
            "telephone_number": "919-535-6787",
            "fax_number": "919-650-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COMMONWEALTH CT STE K",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114437",
            "telephone_number": "919-535-6787",
            "fax_number": "919-650-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBERRY VESTED INTERESTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "HAILEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-535-6787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AGENCY DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of Cary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.