Impeccable Healthcare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMPECCABLE HEALTHCARE SERVICES, LLC

Practice address

1890 S Main St Ste 200
Wake Forest, NC 27587-9726

Phone

(919) 438-3565

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia L Hartsfield

Title

Agency Director

Phone

(919) 995-7902

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667088000000",
    "number": "1942929351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275710096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S MAIN ST STE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879726",
            "telephone_number": "919-438-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPECCABLE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A",
        "authorized_official_last_name": "HARTSFIELD",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-995-7902",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 30, 2022; 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.