Active NPI
Wake Home Care, LLC
- Respite Care
- Raleigh, NC
National Provider Identifier
1730045360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- WAKE HOME CARE, LLC
- Practice address
- 4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010 - Phone
- (919) 924-9206
- NPI assigned
- Dec 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent Sullivan
- Title
- Cfo
- Phone
- (919) 924-9206
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Mailing address
1812 Armor Crest LN
Wake Forest, NC 27587-1841
Phone (919) 924-9206
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nursing Home Administrator
- Rolesville, NC
- NPI 1831019538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766966400000",
"number": "1730045360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 ARMOR CREST LN",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275871841",
"telephone_number": "919-924-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 WAKE FOREST RD STE 349",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276090010",
"telephone_number": "919-924-9206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAKE HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-28",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "919-924-9206"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Wake Health Services, Inc.
- Wake Heart and Vascular Associates P.a.
- Wake Heart and Vascular Associates P.a.
- Wake Heart and Vascular Associates P.a.
- Wake Heart and Vascular Associates P.a.
- Wake Internal Medicine Consultants, Inc.
- Wake Lymphedema and Wellness
- Wake Med
- Wake Medical Associates, P.a.
- Wake Medical Laboratory Consultants Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.