Ebere Collins

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-092-221 Issued in NC

Practice address

2305 Glascock St
Raleigh, NC 27610-1601

Phone

(919) 896-8233

Fax

(919) 896-8233

NPI assigned

Oct 7, 2016

Sex

Female

Sole proprietor

Yes

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

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.

• Mercy Manor at Saybrooke, Inc

  • Adult Care Home Facility
  • Raleigh, NC
  • NPI 1437609948
  NPD (past) Authorized official

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1184174690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 TREVI FOUNTAIN PL",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875928",
            "telephone_number": "919-271-0917",
            "fax_number": "919-896-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GLASCOCK ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101601",
            "telephone_number": "919-896-8233",
            "fax_number": "919-896-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "EBERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-092-221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Collins-Gambill
• Ann S. Collins, MD
• Claudia Nichelle Collins, LCAS
• David Michael Collins, PHARMD
• Deanesha Ava Collins
• Ian Gabriel Collins, MSW, LCSW
• Janieyah Denise Collins, LCSW, LCAS
• Jean Elizabeth Collins, MSN, FNP-C
• John O Collins, M.D.
• Kara Lynn Collins, LCSW

• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.