Idella's Home

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IDELLA'S HOME

Practice address

1015 F8 Spring Forest Rd
Greenville, NC 27834

Phone

(252) 213-6081

NPI assigned

Aug 10, 2017

Last updated

Aug 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eunice Hart, PRESIDENT

Title

Owner

Phone

(252) 213-6081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1114442258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 PRISTINE LN",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719307",
            "telephone_number": "252-213-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 F8 SPRING FOREST RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-213-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Spring Forest Rd Apt G6",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342122",
            "country_code": "US",
            "telephone_number": "252-213-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDELLA'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-213-6081",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Giselle Ibarra Lepe, MD
• Alaa Ibrahim
• Idella Care Homes (Idella's home)
• Idella's Care Home
• Idella's Care Homes LLC
• Sarah Uchechi Ifegwu
• 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.