Annie & Khamorah's Place

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANNIE & KHAMORAH'S PLACE

Doing business as

Khamorah Selby

Practice address

2917 Fairway Drive
Raleigh, NC 27603

Phone

(919) 779-4658

Fax

(919) 779-4658

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Marvin Selby

Title

Owner/Ceo

Phone

(919) 838-1624

Specialties & licenses 1

Addresses

Other names 1

• Khamorah Selby Doing business as

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1982906673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 FAIRWAY DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27603",
            "telephone_number": "919-779-4658",
            "fax_number": "919-779-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 FAIRWAY DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27603",
            "telephone_number": "919-779-4658",
            "fax_number": "919-779-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE & KHAMORAH'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-838-1624"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khamorah Selby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Hart PMH NP PLLC
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• Catherine Michelle Anna, NP
• Bethany Lynne Annen, PHARMD
• Anns Family Care #6
• Anns Family Care #7
• Jessica Linn Anoba, PHARMD
• Anointed Hands Home Care
• Mark Leonard Ansbrow, PT OCS

• Home Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.