Calvary Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CALVARY HOME HEALTH, LLC

Practice address

1300 Tribute Center Dr
Raleigh, NC 27612-3214

Phone

(919) 758-1955

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Yomi Rotimi Ogunbodede

Title

Owner

Phone

(191) 975-8195

Specialties & licenses 1

Addresses

Other names 1

• Calvary Home Health, LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1164030292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 TRIBUTE CENTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123214",
            "telephone_number": "919-758-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 TRIBUTE CENTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123214",
            "telephone_number": "919-758-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "OGUNBODEDE",
        "authorized_official_first_name": "YOMI",
        "authorized_official_middle_name": "ROTIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "191-975-8195"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yomiogunbodede@icloud.com",
            "affiliation": "N",
            "address_1": "1300 Tribute Center Dr",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276123214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Calvary Home Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stella Unabia Calungsud, PT
• Troy Calungsud, PT, DPT
• Debra Renee Calvert, PHARMD
• Kathryn Anne Wood Calvillo, CNM
• Isatou Camara
• Adrianna Cambridge
• Amy Christine Cameron

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.