NPIMap

Organization Active NPI

NC Wellness & Recovery

  • Home Health Agency
  • Knightdale, NC
National Provider Identifier
1508630476
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NC WELLNESS & RECOVERY
Practice address
4006 Peachtree Town LN
Knightdale, NC 27545-7948
Phone
(919) 464-4283
Fax
(919) 420-3277
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Damein Forsythe
Title
Owner
Phone
(919) 464-4283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4006 Peachtree Town LN
Knightdale, NC 27545-7948

Mailing address

4006 Peachtree Town LN
Knightdale, NC 27545-7948
Phone (919) 464-4283

National Provider Directory

National Provider Directory
Tax ID family
NC Wellness Recovery2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1508630476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 PEACHTREE TOWN LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457948",
            "telephone_number": "919-464-4283",
            "fax_number": "919-420-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 PEACHTREE TOWN LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457948",
            "telephone_number": "919-464-4283",
            "fax_number": "919-420-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC WELLNESS & RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-01-03",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "DAMEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-464-4283"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.