Organization Active NPI

Bluecross Home Care & Health Services Inc

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1437547627
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4706 Issued in NC
Legal business name
BLUECROSS HOME CARE & HEALTH SERVICES INC
Practice address
3509 Haworth Dr Ste 303
Raleigh, NC 27609-7235
Phone
(919) 247-7171
Fax
(919) 348-4737
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Mr. Nwachukwu Chukwukairo Okafor
Title
Chief Operating Officer
Phone
(919) 247-7171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4706 NC Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3509 Haworth Dr Ste 303
Raleigh, NC 27609-7235

Mailing address

3509 Haworth Dr Ste 303
Raleigh, NC 27609-7235
Phone (919) 247-7171

Other practice location 1

207 Red Field St
Cary, NC 27513-5186
Phone (919) 247-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200731002850 NC DME Supplier - Medical Supply Company 0941625339 Practice locations: Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bluecross Home Care& Health Service3509 Haworth Dr, Raleigh, NC 27609-7235(919) 665-1237 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|External… Accepts assignmentParticipating since Dec 19, 2024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1437547627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 HAWORTH DR STE 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097235",
            "telephone_number": "919-247-7171",
            "fax_number": "919-348-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 HAWORTH DR STE 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097235",
            "telephone_number": "919-247-7171",
            "fax_number": "919-348-4737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Red Field St",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275135186",
            "country_code": "US",
            "telephone_number": "919-247-7171",
            "fax_number": "919-348-4737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUECROSS HOME CARE & HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "NWACHUKWU",
        "authorized_official_middle_name": "CHUKWUKAIRO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "919-247-7171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4706",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.