Organization Active NPI

Candlesticks Family Care Home

  • Adult Care Home Facility
  • Durham, NC
National Provider Identifier
1477026532
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CANDLESTICKS FAMILY CARE HOME
Practice address
1607 Amberly Dr
Durham, NC 27704-5109
Phone
(919) 564-7489
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Rose Ify AnyanwuNPI 1467861104
Title
Ceo
Phone
(919) 440-8333

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
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1607 Amberly Dr
Durham, NC 27704-5109

Mailing address

4901 Departure Dr Unit 58771
Raleigh, NC 27658-0802

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": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1477026532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 DEPARTURE DR UNIT 58771",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276580802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AMBERLY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045109",
            "telephone_number": "919-564-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLESTICKS FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "IFY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-440-8333"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 10, 2019; 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.