Organization Active NPI

Management Consultants Pro LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1487225397
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MANAGEMENT CONSULTANTS PRO LLC
Practice address
4219 Professional Court Ste 201
Raleigh, NC 27619-2761
Phone
(984) 202-5645
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Bryan Doreko Paul SmithNPI 1366159451
Title
Agency Director
Phone
(252) 548-9303

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4219 Professional Court Ste 201
Raleigh, NC 27619-2761

Mailing address

2924 Trassacks Dr
Raleigh, NC 27610-5497
Phone (252) 548-9303

Other names 1

  • Management Care Service Staff Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Management Care Service Staff2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1487225397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 TRASSACKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105497",
            "telephone_number": "252-548-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 PROFESSIONAL COURT STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276192761",
            "telephone_number": "984-202-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEMENT CONSULTANTS PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DOREKO PAUL",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "252-548-9303"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Management Care Service Staff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 2, 2021; 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.