Organization Active NPI

Au Elderly Care Services LLC

  • In Home Supportive Care Agency
  • Knightdale, NC
National Provider Identifier
1821860255
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AU ELDERLY CARE SERVICES LLC
Practice address
4437 Stony Falls Way
Knightdale, NC 27545-5148
Phone
(919) 412-9967
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Alexander Iwekuba, PASTORNPI 1639442833
Title
Chief Executive Officer
Phone
(919) 412-9967

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

4437 Stony Falls Way
Knightdale, NC 27545-5148

Mailing address

4437 Stony Falls Way
Knightdale, NC 27545-5148
Phone (919) 412-9967

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1821860255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 STONY FALLS WAY",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275455148",
            "telephone_number": "919-412-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 STONY FALLS WAY",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275455148",
            "telephone_number": "919-412-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AU ELDERLY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "IWEKUBA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-412-9967",
        "authorized_official_credential": "PASTOR"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.