Individual provider Active NPI

Aso Uguru Ukaegbu

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1306156971
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4198 Issued in NC
Practice address
5300 Atlantic Ave
Suite 106-O
Raleigh, NC 27609-1122
Phone
(919) 741-2895
Fax
(919) 872-3340
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4198 NC Primary

Addresses

Primary practice location

5300 Atlantic Ave
Suite 106-O
Raleigh, NC 27609-1122

Mailing address

5300 Atlantic Ave
Suite 106-O
Raleigh, NC 27609-1122
Phone (919) 741-2895

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

LicenseStateTypeSpecialty
HC4198NCMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1306156971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE",
            "address_2": "SUITE 106-O",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091122",
            "telephone_number": "919-741-2895",
            "fax_number": "919-872-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE",
            "address_2": "SUITE 106-O",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091122",
            "telephone_number": "919-741-2895",
            "fax_number": "919-872-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKAEGBU",
        "first_name": "ASO",
        "middle_name": "UGURU",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 18, 2010; 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.