Organization Active NPI

Sunflower Village Home Care, LLC

  • In Home Supportive Care Agency
  • Cary, NC
National Provider Identifier
1801635735
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUNFLOWER VILLAGE HOME CARE, LLC
Practice address
120 Preston Executive Dr Ste 236
Cary, NC 27513-8445
Phone
(984) 284-0044
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Courtney Latrece Wilburn, RN
Title
Agency Director
Phone
(984) 284-0044

Specialties & licenses 1

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

Addresses

Primary practice location

120 Preston Executive Dr Ste 236
Cary, NC 27513-8445

Mailing address

120 Preston Executive Dr Ste 236
Cary, NC 27513-8445
Phone (984) 284-0044

National Provider Directory

National Provider Directory

Locations

120 Preston Executive Dr
Ste 236
Cary, NC 27513
Phone (984) 284-0044

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1801635735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PRESTON EXECUTIVE DR STE 236",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138445",
            "telephone_number": "984-284-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PRESTON EXECUTIVE DR STE 236",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138445",
            "telephone_number": "984-284-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER VILLAGE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "WILBURN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "LATRECE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "984-284-0044",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.