Active NPI
Care One Nursing Service
- Home Health Agency
- Raleigh, NC
National Provider Identifier
1912927336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC 2205
- Legal business name
- CARE ONE NURSING SERVICE
- Practice address
- 331 Tryon Road
Suite 103a
Raleigh, NC 27603-3583 - Phone
- (919) 771-2310
- Fax
- (919) 771-2370
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nurudeen Agbejule
- Title
- Administrator/Nurse
- Phone
- (919) 771-2310
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Agency | 251E00000X | HC 2205 | NC | Primary |
Addresses
Primary practice location
331 Tryon Road
Suite 103a
Raleigh, NC 27603-3583
Mailing address
331 Tryon Road
Suite 103a
Raleigh, NC 27603-3583
Phone (919) 771-2310
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600854 | Medicaid | NC | |
| 6601372 | Medicaid | NC | |
| 3409447 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Care One Nursing Service
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Smithfield, NC
- NPI 1659793743
-
- In Home Supportive Care Agency
- Raleigh, NC
- NPI 1275965873
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1003042821
Locations
331 Tryon Rd
Ste 103A
Raleigh, NC 27603
Phone (919) 624-6533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1912927336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 TRYON ROAD",
"address_2": "SUITE 103A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033583",
"telephone_number": "919-771-2310",
"fax_number": "919-771-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 TRYON ROAD",
"address_2": "SUITE 103A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033583",
"telephone_number": "919-771-2310",
"fax_number": "919-771-2370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE ONE NURSING SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "AGBEJULE",
"authorized_official_first_name": "NURUDEEN",
"authorized_official_title_or_position": "ADMINISTRATOR/NURSE",
"authorized_official_telephone_number": "919-771-2310"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC 2205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600854",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601372",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409447",
"state": "NC"
}
],
"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 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.