Bonaventure Ezewuzie

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HC6039 Issued in NC

Practice address

1100 Logger CT Ste H102
Raleigh, NC 27609-8513

Phone

(919) 607-8225

NPI assigned

Mar 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar Oaks Health Inc

  • In Home Supportive Care Agency
  • Raleigh, NC
  • NPI 1649037599
  NPD Authorized official

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1124727730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT STE H102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT STE H102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098513",
            "telephone_number": "919-607-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEWUZIE",
        "first_name": "BONAVENTURE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC6039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyemax Optometry, PLLC
• Eyepieces Inc
• Eyes on North Ridge OD, PLLC
• Obinna Chika Ezeamurunamma
• Chibundom Ezeonu
• Yvonne Ezinandor
• Ifeoma Tonia Ezugwu
• F.O.O.T.P.R.I.N.T.S. Solutions Group
• Fabcare Homecare Services LLC
• Katherine Kilburn Fabrizio, M.A., L.P.C., L.P.A.

• Home Health Aide in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.