Active NPI
Nnebuchi Nwankwo
- Adult Care Home Facility
- Raleigh, NC
National Provider Identifier
1912108697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- MHL-092648
- Practice address
- 4428 Louisburg Rd
Suite 109
Raleigh, NC 27616-4302 - Phone
- (919) 872-7686
- Fax
- (919) 872-7456
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | MHL-092648 | NC | Primary |
Addresses
Primary practice location
4428 Louisburg Rd
Suite 109
Raleigh, NC 27616-4302
Mailing address
4428 Louisburg Rd
Suite 109
Raleigh, NC 27616-4302
Phone (919) 872-7686
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
| License | State | Type | Specialty |
|---|---|---|---|
| MHL-092648 | NC | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912108697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4428 LOUISBURG RD",
"address_2": "SUITE 109",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276164302",
"telephone_number": "919-872-7686",
"fax_number": "919-872-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4428 LOUISBURG RD",
"address_2": "SUITE 109",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276164302",
"telephone_number": "919-872-7686",
"fax_number": "919-872-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWANKWO",
"first_name": "NNEBUCHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "MHL-092648",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.