Organization Active NPI

Esliker-Samuels Inc

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1790966554
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ESLIKER-SAMUELS INC
Practice address
5124 Werribee Dr
Raleigh, NC 27616-5546
Phone
(919) 878-7689
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Ellen Esliker-Samuels
Title
President
Phone
(919) 264-0775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 177F00000X FCL-092-132 NC
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5124 Werribee Dr
Raleigh, NC 27616-5546

Mailing address

5812 Snooks TRL
Wake Forest, NC 27587-8423
Phone (919) 264-0775

Other names 1

  • The Manor at Coventry Creek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Esliker-Samuels Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1790966554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 SNOOKS TRL",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878423",
            "telephone_number": "919-264-0775",
            "fax_number": "844-384-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 WERRIBEE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165546",
            "telephone_number": "919-878-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESLIKER-SAMUELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "ESLIKER-SAMUELS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-264-0775"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lodging",
            "state": "NC",
            "license": "FCL-092-132",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor at Coventry Creek",
            "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 Feb 14, 2024; 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.