Organization Active NPI

Basic Home Care Agency, LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1992457378
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BASIC HOME CARE AGENCY, LLC
Doing business as
Basic Home Care Agency, LLC
Practice address
3535 S Wilmington St Ste 106
Raleigh, NC 27603-3511
Phone
(919) 389-3098
Fax
(919) 779-0475
NPI assigned
Jan 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Stanley N Chikeluba
Title
President
Phone
(919) 389-3098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3535 S Wilmington St Ste 106
Raleigh, NC 27603-3511

Mailing address

3535 S Wilmington St Ste 106
Raleigh, NC 27603-3511
Phone (919) 389-3098

Other names 1

  • Basic Home Care Agency, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1992457378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S WILMINGTON ST STE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033511",
            "telephone_number": "919-389-3098",
            "fax_number": "919-779-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S WILMINGTON ST STE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033511",
            "telephone_number": "919-389-3098",
            "fax_number": "919-779-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "CHIKELUBA",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-389-3098"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Basic Home Care Agency, LLC",
            "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 Jan 26, 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.