NPIMap

Organization Active NPI

Fidelity Healthcare Services

  • Home Health Agency
  • Durham, NC
National Provider Identifier
1467825943
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4098 Issued in NC
Legal business name
FIDELITY HEALTHCARE SERVICES
Doing business as
Fidelity Healthcare Services
Practice address
2327 Englert Dr
Suite 306
Durham, NC 27713-4446
Phone
(919) 806-0009
Fax
(919) 806-1201
NPI assigned
Nov 5, 2015
Organization subpart
Yes
Parent organization
FIDELITY COMMUNITY SUPPORT GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Dr. Jim Osita Okeke, D.O
Title
Ceo
Phone
(919) 201-8914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4098 NC Primary

Addresses

Primary practice location

2327 Englert Dr
Suite 306
Durham, NC 27713-4446

Mailing address

2327 Englert Dr
Suite 306
Durham, NC 27713-4446
Phone (919) 806-0009

Other names 1

  • Fidelity Healthcare Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fidelity Healthcare Services2 organizations share this tax ID, including this one
Part of
Fidelity Healthcare Services

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1467825943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 ENGLERT DR",
            "address_2": "SUITE 306",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134446",
            "telephone_number": "919-806-0009",
            "fax_number": "919-806-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 ENGLERT DR",
            "address_2": "SUITE 306",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134446",
            "telephone_number": "919-806-0009",
            "fax_number": "919-806-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIDELITY COMMUNITY SUPPORT GROUP, INC",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "OSITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-201-8914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fidelity Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.