Individual provider Active NPI

Nelson Bogonko

  • Home Health Agency
  • Rolesville, NC
National Provider Identifier
1629987698
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC27571 Issued in NC
Practice address
4624 Lonnie Dr
Rolesville, NC 27571-8755
Phone
(252) 710-0408
NPI assigned
Sep 3, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC27571 NC Primary

Addresses

Primary practice location

4624 Lonnie Dr
Rolesville, NC 27571-8755

Mailing address

4624 Lonnie Dr
Rolesville, NC 27571-8755
Phone (252) 710-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1629987698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 LONNIE DR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275718755",
            "telephone_number": "252-710-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 LONNIE DR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275718755",
            "telephone_number": "252-710-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGONKO",
        "first_name": "NELSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC27571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.