NPIMap

Organization Active NPI

Cardea Healthcare, LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1306150040
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4152 Issued in NC
Legal business name
CARDEA HEALTHCARE, LLC
Practice address
8801 Fast Park Dr
Suite 211
Raleigh, NC 27617-4852
Phone
(919) 786-5052
Fax
(919) 786-5067
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Ms. Carol Lea Canelas, RN, BSN, MA
Title
Agency Director
Phone
(919) 786-5052

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4152 NC Primary
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X HC4152 NC
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X HC4152 NC
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X HC4152 NC

Addresses

Primary practice location

8801 Fast Park Dr
Suite 211
Raleigh, NC 27617-4852

Mailing address

8801 Fast Park Dr
Suite 211
Raleigh, NC 27617-4852
Phone (919) 786-5052

Other identifiers 2

IdentifierTypeStateIssuer
3418934MedicaidNC
6602072MedicaidNC

Other names 1

  • Synergy HomeCare of the Triangle Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1306150040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 FAST PARK DR",
            "address_2": "SUITE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174852",
            "telephone_number": "919-786-5052",
            "fax_number": "919-786-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 FAST PARK DR",
            "address_2": "SUITE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174852",
            "telephone_number": "919-786-5052",
            "fax_number": "919-786-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDEA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "CANELAS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-786-5052",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4152",
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "NC",
            "license": "HC4152",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC4152",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC4152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418934",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602072",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of the Triangle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 4, 2011; 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.