Active NPI
Twinkle-Star Home Services LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Raleigh, NC
National Provider Identifier
1467099341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ifeoma Umelo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C201919301765 | Medicaid | 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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2326288 | Twinkle-Star Home Services, LLC | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Raleigh, NC
- NPI 1790322725
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
- Harrison G Tuttle, MD
- Hanna Tuzova, BCBA
- Fridah K Twara
- Deborah P Twardy, PT
- Twenty Pack Management Corp. (Sunrise Assisted Living of Raleigh)
- Twinklescape Sleep Disorders Center-Raleigh
- Twinklescape Sleep Disorders Center-Smithfield
- Twins Loving Care Services, LLC
- Fran Holler Twisdale, DENTIST
- Anisha Tyagi, LCSWA
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.