Active NPI
Express Support Group, LLC
Doing business as Express Home Care- Wilmington
- In Home Supportive Care Agency
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC 4472
- Legal business name
- EXPRESS SUPPORT GROUP, LLC
- Doing business as
- Express Home Care- Wilmington
- Practice address
- 1801 Saint Albans Dr Ste G
Raleigh, NC 27609-6286 - Phone
- (919) 876-4949
- Fax
- (919) 876-4946
- NPI assigned
- Feb 14, 2014
- Last updated
- Feb 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick I Ogbonna
- Title
- President
- Phone
- (919) 876-4949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HC 4472 | NC | Primary |
Addresses
Primary practice location
1801 Saint Albans Dr Ste G
Raleigh, NC 27609-6286
Mailing address
1801 Saint Albans Dr Ste G
Raleigh, NC 27609-6286
Phone (919) 876-4949
Other names 1
- EXPRESS HOME CARE- WILMINGTON
National Provider Directory
National Provider Directory- Tax ID family
- Express Home Care- Wilmington
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Personal Care Attendant
- Raleigh, NC
- NPI 1700010220
Locations
1801 Saint Albans Dr
Ste G
Raleigh, NC 27609
Phone (919) 606-2013
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthotic Fitter
- Raleigh, NC
- NPI 1760786271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392336000000",
"number": "1104240936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SAINT ALBANS DR STE G",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096286",
"telephone_number": "919-876-4949",
"fax_number": "919-876-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SAINT ALBANS DR STE G",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096286",
"telephone_number": "919-876-4949",
"fax_number": "919-876-4946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS SUPPORT GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-14",
"last_updated": "2014-02-14",
"status": "A",
"authorized_official_last_name": "OGBONNA",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-876-4949"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC 4472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EXPRESS HOME CARE- WILMINGTON",
"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 Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.