Invictus Healthcare Plus LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INVICTUS HEALTHCARE PLUS LLC

Practice address

5024 Manor Valley CT
Apt.002
Raleigh, NC 27613-7071

Phone

(919) 455-6406

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eunita Octavia Haskins

Title

Ceo

Phone

(919) 455-6406

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346766136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 MANOR VALLEY CT APT 2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137330",
            "telephone_number": "919-455-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 MANOR VALLEY CT",
            "address_2": "APT.002",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137071",
            "telephone_number": "919-455-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS HEALTHCARE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "EUNITA",
        "authorized_official_middle_name": "OCTAVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-455-6406",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.