Marywins Home Care Services, L.L.C.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MARYWINS HOME CARE SERVICES, L.L.C.

Practice address

2609 Atlantic Ave
Raleigh, NC 27604-2399

Phone

(919) 615-4001

Fax

(919) 615-4001

NPI assigned

Sep 26, 2020

Last updated

Oct 19, 2020By 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

Godwin C. Osakwe, PHD

Title

Director

Phone

(919) 615-4001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1932716727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 EXTINE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103495",
            "telephone_number": "919-231-7865",
            "fax_number": "919-615-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 ATLANTIC AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276042399",
            "telephone_number": "919-615-4001",
            "fax_number": "919-615-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYWINS HOME CARE SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "OSAKWE",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-615-4001",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.