Abc Care LP

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ABC CARE LP

Doing business as

Abc Care LP

Practice address

212 Pine Ridge Dr
Roanoke Rapids, NC 27870-6832

Phone

(919) 817-9174

NPI assigned

Jan 10, 2020

Last updated

Jan 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Olufemi Abe

Title

Administrator

Phone

(919) 817-9174

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ABC CARE LP Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1457991192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PINE RIDGE DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706832",
            "telephone_number": "919-817-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PINE RIDGE DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706832",
            "telephone_number": "919-817-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC CARE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "ABE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "OLUFEMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-817-9174"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1931370",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abccare1rr@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "212 Pine Ridge Dr",
            "city": "Roanoke Rapids",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278706832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ABC CARE LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.