Organization Active NPI

Providence Home Care and Training Institue Inc

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1962633776
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROVIDENCE HOME CARE AND TRAINING INSTITUE INC
Practice address
807 Spring Forest Rd
Suite 2000
Raleigh, NC 27609-9197
Phone
(919) 647-9021
Fax
(919) 647-4569
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Mrs. Helen T Adewunmi, BSC
Title
President/Owner
Phone
(919) 880-4278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

807 Spring Forest Rd
Suite 2000
Raleigh, NC 27609-9197

Mailing address

807 Spring Forest Rd
Suite 2000
Raleigh, NC 27609-9197
Phone (919) 647-9021

Other names 1

  • Providence Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 Spring Forest Rd
Ste 2000
Raleigh, NC 27609
Phone (919) 647-9021

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1962633776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SPRING FOREST RD",
            "address_2": "SUITE 2000",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099197",
            "telephone_number": "919-647-9021",
            "fax_number": "919-647-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SPRING FOREST RD",
            "address_2": "SUITE 2000",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099197",
            "telephone_number": "919-647-9021",
            "fax_number": "919-647-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME CARE AND TRAINING INSTITUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "ADEWUNMI",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "919-880-4278",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2009; 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.