Organization Active NPI

Delmax Healthcare Agency, Inc.

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1386707255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2960 Issued in NC
Legal business name
DELMAX HEALTHCARE AGENCY, INC.
Practice address
1305 E Millbrook Rd
Suite C 105
Raleigh, NC 27609-5400
Phone
(919) 855-9280
Fax
(919) 855-9281
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Delores Maxine Passmore, LPN
Title
Administrator
Phone
(919) 855-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2960 NC Primary

Addresses

Primary practice location

1305 E Millbrook Rd
Suite C 105
Raleigh, NC 27609-5400

Mailing address

1305 E Millbrook Rd
Suite C 105
Raleigh, NC 27609-5400
Phone (919) 855-9280

Other identifiers 1

IdentifierTypeStateIssuer
6601275MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Delmax Healthcare Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1305 E Millbrook Rd
Ste C105
Raleigh, NC 27609
Phone (919) 855-9280

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386707255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E MILLBROOK RD",
            "address_2": "SUITE C 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095400",
            "telephone_number": "919-855-9280",
            "fax_number": "919-855-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E MILLBROOK RD",
            "address_2": "SUITE C 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095400",
            "telephone_number": "919-855-9280",
            "fax_number": "919-855-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMAX HEALTHCARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASSMORE",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-855-9280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601275",
            "state": "NC"
        }
    ],
    "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 Aug 22, 2020; 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.