Organization Active NPI

Minnie Inc

Doing business as ComForCare Home Care

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1437507563
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3443 Issued in NC
Legal business name
MINNIE INC
Doing business as
ComForCare Home Care
Practice address
3761 Junction Blvd
Raleigh, NC 27603-5263
Phone
(919) 542-2520
Fax
(919) 545-5540
NPI assigned
May 31, 2016
Last updated
May 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Brian D Lake
Title
Owner
Phone
(919) 542-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3443 NC Primary

Addresses

Primary practice location

3761 Junction Blvd
Raleigh, NC 27603-5263

Mailing address

3761 Junction Blvd
Raleigh, NC 27603-5263
Phone (919) 542-2520

Other names 1

  • ComForCare Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

3761 Junction Blvd
Raleigh, NC 27603
Phone (919) 542-2520

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1437507563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 JUNCTION BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035263",
            "telephone_number": "919-542-2520",
            "fax_number": "919-545-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 JUNCTION BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035263",
            "telephone_number": "919-542-2520",
            "fax_number": "919-545-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNIE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-542-2520"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care",
            "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 May 31, 2016; 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.