Organization Active NPI

Twinkle-Star Home Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1467099341
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
TWINKLE-STAR HOME SERVICES LLC
Practice address
1921 Waters Dr
Raleigh, NC 27610-4836
Phone
(919) 539-9223
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Ifeoma UmeloNPI 1790322725
Title
Administrator
Phone
(919) 539-9223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1921 Waters Dr
Raleigh, NC 27610-4836

Mailing address

2204 Havering PL
Raleigh, NC 27604-0801
Phone (919) 539-9223

Other identifiers 1

IdentifierTypeStateIssuer
C201919301765MedicaidNC

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2326288Twinkle-Star Home Services, LLC1921 Waters Drive, Raleigh, NC 27610Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1467099341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 HAVERING PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040801",
            "telephone_number": "919-539-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WATERS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104836",
            "telephone_number": "919-539-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINKLE-STAR HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "UMELO",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-539-9223"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C201919301765",
            "state": "NC"
        }
    ],
    "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 Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.