Joyce Ekwutosi Ogbu

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL035030 Issued in NC

Practice address

205 Bunn Rd
Louisburg, NC 27549-2705

Phone

(919) 497-0114

NPI assigned

Feb 16, 2018

Sex

Female

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

State licenses

Practice roles

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.

• Pinewood Manor of NC Inc

  • Adult Care Home Facility
  • Louisburg, NC
  • NPI 1538660121
  NPD (past) Authorized official

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1861992778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 SAGEBRUSH LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039394",
            "telephone_number": "425-417-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BUNN RD",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492705",
            "telephone_number": "919-497-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBU",
        "first_name": "JOYCE",
        "middle_name": "EKWUTOSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL035030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FCL035030",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novant Medical Group Inc
• Novant Medical Group Inc
• Novant Medical Group, Inc
• Novant Medical Group, Inc.
• Michael Andre Nustar
• Shiffon P Oliver, CRC, LCMHCA
• Kennedy U. Onori, PHD., FNP-BC
• Oreze Medical Investors, LLC
• Orthopaedic Specialists of North Carolina, P.a.
• Tanya Marie Pagett, RN

• Adult Care Home Facility in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.