Organization Active NPI

Redefined Courage Foundation, Inc

  • In Home Supportive Care Agency
  • Wake Forest, NC
National Provider Identifier
1851984504
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REDEFINED COURAGE FOUNDATION, INC
Practice address
1001 Dairy House CT
Wake Forest, NC 27587-4656
Phone
(919) 263-4396
NPI assigned
Feb 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Authorized official

Name
Mrs. Nikki Speer
Title
Executive Director
Phone
(919) 263-4396

Specialties & licenses 1

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

Addresses

Primary practice location

1001 Dairy House CT
Wake Forest, NC 27587-4656

Mailing address

1001 Dairy House CT
Wake Forest, NC 27587-4656
Phone (919) 263-4396

Other names 1

  • Redefined Courage Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1851984504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DAIRY HOUSE CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874656",
            "telephone_number": "919-263-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DAIRY HOUSE CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874656",
            "telephone_number": "919-263-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINED COURAGE FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-263-4396",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redefined Courage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.