East Wake Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EAST WAKE HOME CARE

Doing business as

East Wake Home Care

Practice address

101 Forest Dr
Knightdale, NC 27545-9603

Phone

(919) 307-9314

NPI assigned

Nov 11, 2020

Last updated

Dec 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyarra Rogers

Title

RN/ Agency Director

Phone

(757) 759-8891

Specialties & licenses 2

Addresses

Other names 1

• East Wake Home Care Doing business as

Locations

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1659973998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FOREST DR STE B",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459603",
            "telephone_number": "757-759-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FOREST DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459603",
            "telephone_number": "919-307-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WAKE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KYARRA",
        "authorized_official_title_or_position": "RN/ AGENCY DIRECTOR",
        "authorized_official_telephone_number": "757-759-8891"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Wake Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Wake Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DVM Services CVP LLC (Companion Pharmacy)
• E D Emmanuel Homes,LLC
• E.W.Stone Adult Care Service
• Tammy Earley
• East Wake Counseling and Consulting, PLLC
• Mahtsente Worku Ebron, MSHS OTRL
• Madeline Sarah Eck, BCBA
• Lisa May Edmondson, LCSW
• Lacrysha Foreman Edmundson, RN
• Emily Edwards, LCSW

• In Home Supportive Care Agency in Knightdale, NC
• Providers in Knightdale, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.