Individual provider Active NPI

Daniel Iwuji

  • In Home Supportive Care Agency
  • Mint Hill, NC
National Provider Identifier
1881136802
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4106 Issued in NC
Practice address
7020 Wilson Grove Rd
Mint Hill, NC 28227-4352
Phone
(919) 264-6848
NPI assigned
Nov 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4106 NC Primary

Addresses

Primary practice location

7020 Wilson Grove Rd
Mint Hill, NC 28227-4352

Mailing address

5500 Executive Center Dr
Suite 232
Charlotte, NC 28212-8856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HC4106NCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Revived Senior Living CurrentSince Apr 24, 2022 Accepting new patients
Alive Home Care LLC In Home Supportive Care CurrentSince Mar 6, 2022 Accepting new patients
Access Healthcare PCS Services Inc In Home Supportive Care Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1881136802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR",
            "address_2": "SUITE 232",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 WILSON GROVE RD",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282274352",
            "telephone_number": "919-264-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUJI",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.