Access Health System 1, Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACCESS HEALTH SYSTEM 1, CORP

Doing business as

Access Health System 2
Access Health System 3

Practice address

5132 Dice Dr
Raleigh, NC 27616-5655

Phone

(919) 747-9514

Fax

(919) 341-0486

NPI assigned

May 4, 2007

Last updated

Jul 21, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ACCESS HEALTH SYSTEM 1 CORPAs reported in NPPES

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

Authorized official

Name

Gloria Ogugua Ilonze, RN, BSN

Title

Director/Ceo

Phone

(919) 349-3807

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 4

• Access Health System 2 Doing business as
• Access Health System 3 Doing business as
• Access Health System 1 inc Former legal business name
• Access Health System 2 inc Former legal business name

Part of

Access Health System 1 Corp

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1205048766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 DICE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165655",
            "telephone_number": "919-747-9514",
            "fax_number": "919-341-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 DICE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165655",
            "telephone_number": "919-747-9514",
            "fax_number": "919-341-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5208 Country Pines Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276165688",
            "country_code": "US",
            "telephone_number": "919-850-3297",
            "fax_number": "919-341-5234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Seven Oaks Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277041125",
            "country_code": "US",
            "telephone_number": "919-237-1416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCESS HEALTH SYSTEM 1, CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCESS HEALTH SYSTEM 1 CORP",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "ILONZE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "OGUGUA",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "919-349-3807",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806698",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806244",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Health System 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Health System 3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Health System 1 inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Access Health System 2 inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Anna Aceto-Korn
• Veronika Acevedo, MS, OTR/L

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, 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 Jul 21, 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.