Organization Active NPI

Hyvivhomehealthagency,Inc

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1255415402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3268 Issued in NC
Legal business name
HYVIVHOMEHEALTHAGENCY,INC
Practice address
2421 Dality Dr
Raleigh, NC 27604-1291
Phone
(919) 539-8604
Fax
(919) 255-6312
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Hyacienth Onyebuchi II
Title
Agency Director
Phone
(919) 539-8604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3268 NC Primary

Addresses

Primary practice location

2421 Dality Dr
Raleigh, NC 27604-1291

Mailing address

2421 Dality Dr
Raleigh, NC 27604-1291
Phone (919) 539-8604

Other identifiers 2

IdentifierTypeStateIssuer
6601434MedicaidNC
3418058MedicaidNC

Other names 1

  • hyvivmedicalgroup Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255415402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 DALITY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041291",
            "telephone_number": "919-539-8604",
            "fax_number": "919-255-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 DALITY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041291",
            "telephone_number": "919-539-8604",
            "fax_number": "919-255-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYVIVHOMEHEALTHAGENCY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONYEBUCHI",
        "authorized_official_first_name": "HYACIENTH",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-539-8604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601434",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418058",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hyvivmedicalgroup",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 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.