Active NPI
Bluecross Home Care & Health Services Inc
- In Home Supportive Care Agency
- Raleigh, NC
National Provider Identifier
1437547627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC4706
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200731002850 | NC | DME Supplier - Medical Supply Company | 0941625339 | Practice locations: Raleigh, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bluecross Home Care& Health Service | 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 assignment |
National Provider Directory
National Provider DirectoryNPI 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.