NPIMap

Organization Active NPI

Recovery Healthcare Agency

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1396114096
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4762 Issued in NC
Legal business name
RECOVERY HEALTHCARE AGENCY
Practice address
1717 S Miami Blvd
Durham, NC 27703-5629
Phone
(919) 423-5513
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Mr. Christopher Ugochukwu Eze, CEO
Title
Owner
Phone
(919) 423-5513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4762 NC Primary

Addresses

Primary practice location

1717 S Miami Blvd
Durham, NC 27703-5629

Mailing address

3611 Ranbir Dr
Durham, NC 27713-1792
Phone (919) 423-5513

National Provider Directory

National Provider Directory
Tax ID family
Recovery Healthcare Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1717 S Miami Blvd
Durham, NC 27703
Phone (919) 423-5513

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1396114096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 RANBIR DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131792",
            "telephone_number": "919-423-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S MIAMI BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035629",
            "telephone_number": "919-423-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "UGOCHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-423-5513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.