Stephen Ezeh

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

16508 Northcross Dr
Huntersville, NC 28078-5081

Phone

(704) 953-5002

NPI assigned

Dec 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dilack Home Care and Nursing Services

  • Home Health Agency
  • Huntersville, NC
  • NPI 1841838505
  NPD Authorized official
• Dilack Home Care and Nursing Services LLC

  • Home Health Registered Nurse
  • Huntersville, NC
  • NPI 1790323368
  NPD Authorized official

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1811535560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16508 NORTHCROSS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "704-953-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16508 NORTHCROSS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "704-953-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEH",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE SERVICES",
            "identifier": "190683",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Huntersville, NC
• Providers in Huntersville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.