Organization Active NPI

Southtrust Homecare LLC

  • Meals Provider
  • Clayton, NC
National Provider Identifier
1649189879
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
SOUTHTRUST HOMECARE LLC
Practice address
57 Relict Dr Lot 146
Clayton, NC 27527-6710
Phone
(919) 746-1604
Fax
(000) 000-0000
NPI assigned
Sep 3, 2026
Organization subpart
No

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

Authorized official

Name
Chukwudi C Okoh, CNA
Title
Ceo
Phone
(919) 746-1604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

57 Relict Dr Lot 146
Clayton, NC 27527-6710

Mailing address

57 Relict Dr Lot 146
Clayton, NC 27527-6710
Phone (919) 746-1604

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1649189879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 RELICT DR LOT 146",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276710",
            "telephone_number": "919-746-1604",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 RELICT DR LOT 146",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276710",
            "telephone_number": "919-746-1604",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTRUST HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "OKOH",
        "authorized_official_first_name": "CHUKWUDI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-746-1604",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, 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.