NPIMap

Organization Active NPI

Amazing Light Health Care Services LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1962886499
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMAZING LIGHT HEALTH CARE SERVICES LLC
Practice address
3515 Maitland Dr
Raleigh, NC 27610-1239
Phone
(919) 949-9777
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Mrs. Ijeoma Tina NwokoroNPI 1811648876
Title
Ceo
Phone
(919) 949-9777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X HC4784 NC

Addresses

Primary practice location

3515 Maitland Dr
Raleigh, NC 27610-1239

Mailing address

105 Switchback St
Knightdale, NC 27545-6004
Phone (919) 949-9777

National Provider Directory

National Provider Directory

Locations

3515 Maitland Dr
Raleigh, NC 27610
Phone (919) 949-9777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1962886499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SWITCHBACK ST",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456004",
            "telephone_number": "919-949-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 MAITLAND DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101239",
            "telephone_number": "919-949-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING LIGHT HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "NWOKORO",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-949-9777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "HC4784",
            "primary": false
        }
    ],
    "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 May 10, 2023; 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.