Conkel Image Healthcare Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4383 Issued in NC

Legal business name

CONKEL IMAGE HEALTHCARE SERVICES

Practice address

405 Aversboro Rd Ste 400
Garner, NC 27529-3869

Phone

(919) 264-9769

Fax

(866) 211-0358

NPI assigned

Jun 9, 2011

Last updated

Jul 14, 2015By 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

Mr. Kelechi C Uwakwe, RN, BSNNPI 1336654623

Title

Agency Director

Phone

(919) 264-9769

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelechi C Uwakwe, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Garner, NC
  • NPI 1336654623
  Authorized official Same address or phone

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1902190796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 HORSEBACK LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102685",
            "telephone_number": "919-264-9769",
            "fax_number": "866-211-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 AVERSBORO RD STE 400",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293869",
            "telephone_number": "919-264-9769",
            "fax_number": "866-211-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONKEL IMAGE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "UWAKWE",
        "authorized_official_first_name": "KELECHI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-264-9769",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Garner, NC
• Providers in Garner, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.