Organization Active NPI

Stalwart Home Health LLC

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1669094413
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STALWART HOME HEALTH LLC
Practice address
814 Rock Quarry Rd
Raleigh, NC 27610-5000
Phone
(919) 400-0592
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Francis Egbom
Title
Director
Phone
(919) 670-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

814 Rock Quarry Rd
Raleigh, NC 27610-5000

Mailing address

6032 Watsonia Dr
Zebulon, NC 27597-8943
Phone (919) 400-0592

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1669094413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 WATSONIA DR",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275978943",
            "telephone_number": "919-400-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105000",
            "telephone_number": "919-400-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALWART HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "EGBOM",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-670-9006"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 15, 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.