Dedove Homes Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DEDOVE HOMES INC.

Practice address

1616 Riverknoll Dr
Raleigh, NC 27610-4580

Phone

(919) 771-7157

NPI assigned

Jan 22, 2019

Organization subpart

No

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

Authorized official

Name

Eucharia Obimma

Title

Administrator

Phone

(919) 771-7157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1619431822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 JORDANMILL CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 RIVERKNOLL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104580",
            "telephone_number": "919-771-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDOVE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "OBIMMA",
        "authorized_official_first_name": "EUCHARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-771-7157"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lee Decesare
• Lara House Dechicio, LCSW
• Antonia Marie Decker, PHYSICIAN ASSISTANT
• Linda Lea Decker, LCSW
• Jeffrey Allen Deckert, MA, NCC, LCMHC
• Katrina P Deen, MS, LPA
• Deeper Well Therapy PLLC
• Susan Deerr, MS, RDN, LDN
• Lerin Gianna Dees, BA, MA
• Murray Dees, LCSWA

• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.