Ole Creek Health and Wellness Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OLE CREEK HEALTH AND WELLNESS INC

Doing business as

Ole Creek Health Care

Practice address

555 S Mangum St Ste 100
Durham, NC 27701-4689

Phone

(984) 358-8100

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Mark Anthony Moore

Title

Executive Management

Phone

(984) 358-8100

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Ole Creek Health Care Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1407567456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MANGUM ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014689",
            "telephone_number": "984-358-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MANGUM ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014689",
            "telephone_number": "984-358-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLE CREEK HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE MANAGEMENT",
        "authorized_official_telephone_number": "984-358-8100"
    },
    "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "HC6737",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Communication",
            "affiliation": "N",
            "address_1": "555 S Mangum St Ste 100",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277014689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ole Creek Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ole Creek Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olufemi Chidi Oladokun, MD
• Gerardo Olarte, PH.D
• Olufemi Olatidoye, MD
• Old Well Medicine, PLLC
• Jennifer Kay Oldham Cox, MS, LPC
• Morgan Olenchak, RN
• Susan P. Oleniacz, PT
• James Oleson, M.D.
• Maria Oliva
• Oliver Olivar

• Home Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.