Organization Active NPI

Royal Healthcare of North Carolina,Inc

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1588797484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3083 Issued in NC
Legal business name
ROYAL HEALTHCARE OF NORTH CAROLINA,INC
Practice address
4124 Viewmont Dr
Raleigh, NC 27610-5334
Phone
(919) 326-5265
Fax
(919) 755-0347
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles B Fowowe Sr.
Title
President
Phone
(919) 326-9470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3083 NC Primary

Addresses

Primary practice location

4124 Viewmont Dr
Raleigh, NC 27610-5334

Mailing address

4124 Viewmont Dr
Raleigh, NC 27610-5334
Phone (919) 326-5265

Other identifiers 1

IdentifierTypeStateIssuer
6601317MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588797484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 VIEWMONT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105334",
            "telephone_number": "919-326-5265",
            "fax_number": "919-755-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 VIEWMONT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105334",
            "telephone_number": "919-326-5265",
            "fax_number": "919-755-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HEALTHCARE OF NORTH CAROLINA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOWOWE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-326-9470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601317",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.