Active NPI
Medique Homecare Staffing, Inc.
- In Home Supportive Care Agency
- Greensboro, NC
National Provider Identifier
1568039170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MEDIQUE HOMECARE STAFFING, INC.
- Practice address
- 2 Centerview Dr
Greensboro, NC 27407-3717 - Phone
- (919) 889-4890
- NPI assigned
- Jun 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lovelyn Chidiebere Chidebe
- Title
- President/Ceo
- Phone
- (919) 889-4890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2 Centerview Dr
Greensboro, NC 27407-3717
Mailing address
5821 Parkchester Rd
Raleigh, NC 27616-8436
Phone (919) 889-4890
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1568039170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 PARKCHESTER RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168436",
"telephone_number": "919-889-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CENTERVIEW DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274073717",
"telephone_number": "919-889-4890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIQUE HOMECARE STAFFING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "CHIDEBE",
"authorized_official_first_name": "LOVELYN",
"authorized_official_middle_name": "CHIDIEBERE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "919-889-4890"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.