Active NPI
Kelechi Bassey
- In Home Supportive Care Agency
- Greenville, NC
National Provider Identifier
1245126663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC7905
- Practice address
- 211 S Jarvis St Ste 104
Greenville, NC 27858-2052 - Phone
- (919) 349-2718
- NPI assigned
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HC7905 | NC | Primary |
Addresses
Primary practice location
211 S Jarvis St Ste 104
Greenville, NC 27858-2052
Mailing address
8386 Six Forks Rd Ste 101
Raleigh, NC 27615-5088
Phone (872) 235-7194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC7905 | NC | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels Dome Home Healthcare Inc | In Home Supportive Care | Current | Accepting new patients |
Locations
211 S Jarvis St
Ste 104
Greenville, NC 27858
Phone (919) 349-2718
8386 Six Forks Rd
Ste 101
Raleigh, NC 27615
Phone (336) 933-1204
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Greenville, NC
- NPI 1649167032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1245126663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8386 SIX FORKS RD STE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155088",
"telephone_number": "872-235-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S JARVIS ST STE 104",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278582052",
"telephone_number": "919-349-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSEY",
"first_name": "KELECHI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-13",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC7905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.