Experiencare LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

EXPERIENCARE LLC

Doing business as

ExperienCare

Practice address

502 McKnight Dr Ste 101
Knightdale, NC 27545-7050

Phone

(703) 338-0878

Fax

(703) 991-8154

NPI assigned

Aug 12, 2017

Last updated

Oct 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Noreen R Jahangiri

Title

President

Phone

(703) 338-0285

Specialties & licenses 4

Addresses

Other names 1

• ExperienCare Doing business as

Locations

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603497600000",
    "number": "1205351145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 BOWERS HILL DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694510",
            "telephone_number": "703-338-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MCKNIGHT DR STE 101",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457050",
            "telephone_number": "703-338-0878",
            "fax_number": "703-991-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-12",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "JAHANGIRI",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-338-0285",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273100000X",
            "taxonomy_group": "",
            "desc": "Epilepsy Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExperienCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enrichment Behavioral Care Services, LLC
• Essential Living Home Care LLC
• Maria Nicole Evans-Hook
• Crystal Jernee Everette Boyd, LCMHC
• Everkind Homecare LLC
• Eye Care Associates OD PA
• Ezer Quality Services LLC (Ezer Home Care Services)
• Robyn Ford Ezzell, MA, LPA
• Faisal Shaikh, DDS, PA (First Avenue Dental)
• Faith Homes 2

• Sleep Disorder Diagnostic Clinic/Center in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Sleep Disorder Diagnostic Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.