NPIMap

Organization Active NPI

Express Support Group LLC

  • Personal Care Attendant
  • Raleigh, NC
National Provider Identifier
1700010220
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
HC4298 Issued in NC
Legal business name
EXPRESS SUPPORT GROUP LLC
Practice address
1801 Saint Albans Dr Ste G
Raleigh, NC 27609-6286
Phone
(919) 876-4949
Fax
(919) 876-4946
NPI assigned
May 12, 2009
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Mr. Patrick Ifeanyi OgbonnaNPI 1760786271
Title
Administrator
Phone
(919) 876-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X HC4298 NC Primary

Addresses

Primary practice location

1801 Saint Albans Dr Ste G
Raleigh, NC 27609-6286

Mailing address

1801 Saint Albans Dr Ste G
Raleigh, NC 27609-6286
Phone (919) 876-4949

National Provider Directory

National Provider Directory
Tax ID family
Express Home Care- Wilmington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1700010220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SAINT ALBANS DR STE G",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096286",
            "telephone_number": "919-876-4949",
            "fax_number": "919-876-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SAINT ALBANS DR STE G",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096286",
            "telephone_number": "919-876-4949",
            "fax_number": "919-876-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS SUPPORT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "OGBONNA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "IFEANYI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-876-4949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC4298",
            "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 Aug 1, 2013; 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.