Organization Active NPI

Safetymeds Home Health Inc

  • Home Health Aide
  • Raleigh, NC
National Provider Identifier
1346883410
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
SAFETYMEDS HOME HEALTH INC
Practice address
5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386
Phone
(919) 637-2303
NPI assigned
Oct 22, 2019
Organization subpart
Yes
Parent organization
SAFETYMEDS HOME HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Mr. Daniel Archibong Jack, CEO
Title
Ceo and Administrator
Phone
(919) 633-9397

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Infusion Therapy Clinic/Center 261QI0500X
Alzheimer Center (Dementia Center) 311500000X
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X
Emergency Response System Companies 333300000X
Home Infusion Therapy Pharmacy 3336H0001X
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386

Mailing address

5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386
Phone (919) 637-2303

Other practice location 1

5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386
Phone (919) 637-2303

Other practice location 2

5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386
Phone (919) 637-2303

Other identifiers 1

IdentifierTypeStateIssuer
1903724OtherNCSECRETARY OF STATES

Other names 1

  • SAFETYMEDS MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory
Part of
Safetymeds Home Health Inc

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1346883410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063386",
            "telephone_number": "919-637-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063386",
            "telephone_number": "919-637-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5540 Centerview Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276063386",
            "country_code": "US",
            "telephone_number": "919-637-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5540 Centerview Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276063386",
            "country_code": "US",
            "telephone_number": "919-637-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFETYMEDS HOME HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFETYMEDS HOME HEALTH INC",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ARCHIBONG",
        "authorized_official_title_or_position": "CEO AND ADMINISTRATOR",
        "authorized_official_telephone_number": "919-633-9397",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATES",
            "identifier": "1903724",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFETYMEDS MEDICAL SUPPLY",
            "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 Oct 22, 2019; 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.