Active NPI
Safetymeds Home Health Inc
- Home Health Aide
- Raleigh, NC
National Provider Identifier
1346883410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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 Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1903724 | Other | NC | SECRETARY OF STATES |
Other names 1
- SAFETYMEDS MEDICAL SUPPLY
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.