Organization Active NPI

Vagap Health

  • Assisted Living Facility (Mental Illness)
  • Raleigh, NC
National Provider Identifier
1700115284
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
MHL-092-753 Issued in NC
Legal business name
VAGAP HEALTH
Practice address
6004 Ricker Rd
Raleigh, NC 27610-4281
Phone
(919) 779-7779
Fax
(919) 424-7185
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Obi Achumba, PHARMD, RPH, QP
Title
Manager
Phone
(919) 779-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X MHL-092-753 NC Primary

Addresses

Primary practice location

6004 Ricker Rd
Raleigh, NC 27610-4281

Mailing address

PO Box 41505
Raleigh, NC 27629-1505
Phone (919) 779-7779

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1700115284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41505",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276291505",
            "telephone_number": "919-779-7779",
            "fax_number": "919-424-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 RICKER RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104281",
            "telephone_number": "919-779-7779",
            "fax_number": "919-424-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAGAP HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "ACHUMBA",
        "authorized_official_first_name": "OBI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-779-7779",
        "authorized_official_credential": "PHARMD, RPH, QP"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-092-753",
            "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 Dec 14, 2009; 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.