Organization Active NPI

Maggie Janes LLC

  • Case Management Agency
  • Raleigh, NC
National Provider Identifier
1861008179
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAGGIE JANES LLC
Practice address
3004 Hillmer Dr
Raleigh, NC 27609-7810
Phone
(919) 415-1659
Fax
(919) 415-1131
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Emily R Widen, RN
Title
Director
Phone
(919) 415-1659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3004 Hillmer Dr
Raleigh, NC 27609-7810

Mailing address

PO Box 20053
Raleigh, NC 27619-0053
Phone (919) 415-1659

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1861008179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20053",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276190053",
            "telephone_number": "919-415-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 HILLMER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097810",
            "telephone_number": "919-415-1659",
            "fax_number": "919-415-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE JANES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "WIDEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-415-1659",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

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