Maurice Roberts, Jr.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAURICE ROBERTS, JR.

Doing business as

Innovative Healthcare Services

Practice address

3622 Lyckan Pkwy
Suite 6005
Durham, NC 27707-2564

Phone

(919) 321-1052

Fax

(919) 321-2312

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Monica Green

Title

Agency Director

Phone

(919) 321-1052

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Innovative Healthcare Services Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831254218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 6005",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-321-1052",
            "fax_number": "919-321-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 6005",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-321-1052",
            "fax_number": "919-321-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE ROBERTS, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-321-1052",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601464",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mauro Nunes, DDS Ms, PLLC (Max Dental Studio)
• Christian Mauro
• Alissa Marie Maus, AUD
• Georgina Mavodzi, RN
• Charles Mason Maxfield, MD

• Home Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.