NPIMap

Organization Active NPI

Wakemed

Doing business as WakeMed Home Health

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1467435842
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1293 Issued in NC
Legal business name
WAKEMED
Doing business as
WakeMed Home Health
Practice address
2920 Highwoods Blvd
Suite 200
Raleigh, NC 27604-1015
Phone
(919) 350-7990
Fax
(919) 350-0111
NPI assigned
Nov 21, 2005
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
WAKEMEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Ms. Jennifer McLucas-Ingold
Title
Executive Director, Home Health
Phone
(919) 350-0236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1293 NC Primary

Addresses

Primary practice location

2920 Highwoods Blvd
Suite 200
Raleigh, NC 27604-1015

Mailing address

2920 Highwoods Blvd
Suite 200
Raleigh, NC 27604-1015
Phone (919) 350-7990

Other identifiers 3

IdentifierTypeStateIssuer
3417179MedicaidNC
347179OtherNCMEDICARE
0070HOtherNCBCBS PROVIDER NUMBER

Other names 1

  • WakeMed Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000581 NC Part A Provider - Home Health Agency 7315937612 Practice locations: Raleigh, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467435842. Details of each certification follow.

Home health agency certification: CCN 347179

Legal name
WAKEMED
Doing business as
WAKEMED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 29, 1989
Last certification
Aug 16, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
3128 Smoketree CT
Raleigh, NC 27604-1014
HHA Branch

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Wakemed

    dba Wakemed Cary Hospital

    • General Acute Care Hospital
    • Cary, NC
    • NPI 1114993086

    7315937612

    Same PAC ID
  • Wakemed

    dba WakeMed Professional Physicians Staff

    • Internal Medicine Physician
    • Raleigh, NC
    • NPI 1194907717

    7315937612

    Same PAC ID
  • Wakemed

    dba WakeMed Mental Health & Well-Being Hospital WakeBrook

    • Psychiatric Hospital Unit
    • Raleigh, NC
    • NPI 1780446302

    7315937612

    Same PAC ID
  • Wakemed

    dba WakeMed Raleigh Campus Rehabilitation Unit

    • Rehabilitation Hospital Unit
    • Raleigh, NC
    • NPI 1790752236

    7315937612

    Same PAC ID
  • Wakemed

    dba WakeMed Raleigh Campus

    • General Acute Care Hospital
    • Raleigh, NC
    • NPI 1972579837

    7315937612

    Same PAC ID

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wakemed Home HealthCCN 347179 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Mar 29, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Wake County Hosp Sys Inc7 organizations share this tax ID, including this one
Part of
Wake County Hosp Sys Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2920 Highwoods Blvd
Ste 200
Raleigh, NC 27604
Phone (919) 350-7990

3128 Smoketree Ct
Raleigh, NC 27604
Phone (919) 350-0236

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cynthia Alness Boily Individual W-2 Managing EmployeeSenior VP & Senior Nursing Officer Jan 1, 2022
Sonia Barnes Individual Corporate DirectorBoard Member Jan 1, 2021
Seth C Brody Individual Corporate OfficerChief Physician Executive Jul 2, 2015
W-2 Managing EmployeeChief Physician Executive Jul 2, 2015
Dan Blue Individual Corporate DirectorBoard Member Jan 1, 2021
Donald Gintzig Individual W-2 Managing EmployeePresident & Ceo Jan 1, 2016
James Penry Individual Corporate DirectorBoard Member Jan 1, 2021
Stephanie Sessoms Individual Corporate OfficerInterim Chief Financial Officer Jan 5, 2023
Thaddeus L McDonald Individual Corporate DirectorBoard Member Jan 1, 2021
Mary Rusher Individual Corporate DirectorBoard Member Jan 1, 2021
Satish Garimella Individual Corporate DirectorBoard Member Jul 11, 2022
Robert Rice Individual Corporate DirectorBoard Member Jan 1, 2021
Judson Williams Individual Corporate DirectorBoard Member Jan 1, 2021
Thomas C Hughes Individual Corporate OfficerSenior VP & Administrator Jan 1, 2022
W-2 Managing EmployeeSenior V P & Administrator Jan 1, 2022
Laura Helton Individual Corporate DirectorBoard Member Jun 7, 2022
Willy Stewart Individual Corporate DirectorBoard Member Jan 1, 2021
Henry Darnell Individual Corporate DirectorBoard Member Jan 1, 2021
Michael Painter Individual Corporate DirectorBoard Member Sep 6, 2022
Larry Donald Barbour Individual Corporate DirectorBoard Member May 25, 2007
US Bank National Association Organization, Charlotte, NC Corporation 5% Or Greater Security Interest Jan 31, 2022 30.93%
Jennifer L McLucas-Ingold Individual W-2 Managing EmployeeExec. Director - Home Health Jan 1, 2018
Margaret Bratton Individual Corporate DirectorBoard Member Jan 1, 2021
Rebecca Andrews Individual W-2 Managing EmployeeSr. VP / Administrator, Raleigh Apr 28, 2008
Valerie Barlow Individual Corporate OfficerSr. VP/Administrator North Hospital Jan 1, 2021
W-2 Managing EmployeeSr. VP/Administrator North Hospital Jan 1, 2021
Thomas Gough Individual Corporate OfficerChief Operating Officer and Evp Jan 1, 2022
W-2 Managing EmployeeChief Operating Officer and Evp Jan 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Peak Rehabilitation HospitalApex, NC, CCN 343028 Hospital 5% Or Greater Direct Ownership Interest (33.3%) Feb 25, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 118

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1467435842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041015",
            "telephone_number": "919-350-7990",
            "fax_number": "919-350-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041015",
            "telephone_number": "919-350-7990",
            "fax_number": "919-350-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEMED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKEMED",
        "enumeration_date": "2005-11-21",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "MCLUCAS-INGOLD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, HOME HEALTH",
        "authorized_official_telephone_number": "919-350-0236",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417179",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "347179",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0070H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WakeMed Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.