Organization Active NPI

Ebbenstone Senior Care

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1760812911
Registry record updated Nov 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC3073 Issued in NC
Legal business name
EBBENSTONE SENIOR CARE
Practice address
5630 Six Forks Rd
Ste 203
Raleigh, NC 27609-3898
Phone
(919) 386-0522
Fax
(800) 536-7056
NPI assigned
Nov 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2013

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

Authorized official

Name
Mr. Daniel Epstein
Title
Ceo/Owner
Phone
(919) 605-9296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC3073 NC Primary

Addresses

Primary practice location

5630 Six Forks Rd
Ste 203
Raleigh, NC 27609-3898

Mailing address

5630 Six Forks Rd
Ste 203
Raleigh, NC 27609-3898
Phone (919) 386-0522

Other names 1

  • Caring Senior Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385251200000",
    "number": "1760812911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 SIX FORKS RD",
            "address_2": "STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093898",
            "telephone_number": "919-386-0522",
            "fax_number": "800-536-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 SIX FORKS RD",
            "address_2": "STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093898",
            "telephone_number": "919-386-0522",
            "fax_number": "800-536-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBBENSTONE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-24",
        "last_updated": "2013-11-24",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-605-9296",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Senior Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 24, 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.