NPIMap

Organization Active NPI

Carolina Staffing & Home Health, Co. Inc.

  • Community/Behavioral Health Agency
  • Knightdale, NC
National Provider Identifier
1114203148
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-092-797 Issued in NC
Legal business name
CAROLINA STAFFING & HOME HEALTH, CO. INC.
Practice address
7048 Knightdale Blvd
Suite 101
Knightdale, NC 27545-8894
Phone
(919) 266-3591
Fax
(919) 266-3591
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Mr. Israel Udochukwu Ojimadu
Title
Ceo/Owner
Phone
(919) 266-3591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-092-797 NC Primary

Addresses

Primary practice location

7048 Knightdale Blvd
Suite 101
Knightdale, NC 27545-8894

Mailing address

7048 Knightdale Blvd
Suite 101
Knightdale, NC 27545-8894
Phone (919) 266-3591

Other identifiers 2

IdentifierTypeStateIssuer
8302666MedicaidNC
5916969MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Staffing and Home Health Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7048 Knightdale Blvd
Ste 101
Knightdale, NC 27545
Phone (919) 266-3591

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1114203148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 KNIGHTDALE BLVD",
            "address_2": "SUITE 101",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458894",
            "telephone_number": "919-266-3591",
            "fax_number": "919-266-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 KNIGHTDALE BLVD",
            "address_2": "SUITE 101",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458894",
            "telephone_number": "919-266-3591",
            "fax_number": "919-266-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA STAFFING & HOME HEALTH, CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "OJIMADU",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "UDOCHUKWU",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-266-3591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-092-797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302666",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916969",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.