Organization Active NPI

Jades-Nissi Home Care, LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1164061313
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JADES-NISSI HOME CARE, LLC
Practice address
5710 Six Forks Rd Ste 15
Raleigh, NC 27609-0041
Phone
(919) 520-3818
NPI assigned
Jan 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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

Authorized official

Name
Mrs. Afolashade Agnes Olaoye, RN
Title
Agency Director
Phone
(919) 520-3818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5710 Six Forks Rd Ste 15
Raleigh, NC 27609-0041

Mailing address

5710 Six Forks Rd Ste 15
Raleigh, NC 27609-0041
Phone (919) 520-3818

National Provider Directory

National Provider Directory

Locations

5710 Six Forks Rd
Ste 15
Raleigh, NC 27609
Phone (919) 520-3818

NPI Registry JSON

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1164061313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 SIX FORKS RD STE 15",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090041",
            "telephone_number": "919-520-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 SIX FORKS RD STE 15",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090041",
            "telephone_number": "919-520-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADES-NISSI HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "OLAOYE",
        "authorized_official_first_name": "AFOLASHADE",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-520-3818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 4, 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.