PROVIDENCE HOME CARE AGENCY INC (NPI# 1558702258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558702258 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOME CARE AGENCY INC |
| Practice Address |
4724 Hargrove Rd Ste 100 Raleigh NC 27616-2802 |
| Practice Telephone | 9199864279 |
| Mailing Telephone | 9199864279 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | ROSEMARY NNEKA IBEKWE (OWNER) |
| Authorized Official Telephone | 9199864279 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE HOME CARE AGENCY INC | 29 N 4th St, Emmaus, PA 18049-2745 |
| Street Address |
4724 HARGROVE RD STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27616-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1841791985 | George Solomon Edmond Sr. | Social Worker | 2700 Sumner Bldv Ste 142, Raleigh, NC 27616 | 2018-02-23 |
| 1366985194 | Kavita Joshi | Contractor | 3001 Spring Forest Road, Raleigh, NC 27616 | 2016-11-28 |
| 1447701701 | Nathaniel Byrams | Durable Medical Equipment & Medical Supplies | 5951 Poyner Village Parkway, Suite 101, Raleigh, NC 27616 | 2016-10-20 |
| 1760831424 | Courtney Lee Smith | Speech-Language Pathologist | 4804 Sinclair Dr, Raleigh, NC 27616 | 2016-06-03 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1609297209 | Vetted International, Ltd. | Ambulance | 6880 Perry Creek Road, Raleigh, NC 27616 | 2013-12-27 |
| 1437588324 | Lauren Primato | Counselor | 8645 Boysenberry Ln, Raleigh, NC 27616 | 2013-11-01 |
| 1275968729 | Rebecca Esliker | Counselor | 3200 Spring Forest Rd, Suite 214, Raleigh, NC 27616 | 2013-09-03 |
| Find all providers in zip 27616 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827858 | Angelic Care Touch Inc | Home Health | 8601 Six Forks Rd Ste 400478, Raleigh, NC 27615-5276 | 2020-10-06 |
| 1710584529 | Christopher Amadi Amadi | Home Health | 8601 Six Forks Rd Ste 47886016, Raleigh, NC 27615-5276 | 2020-10-05 |
| 1336756964 | All Star Home Health Care Inc | Home Health | 2609 Atlantic Ave Ste 101a, Raleigh, NC 27604-1550 | 2020-09-28 |
| 1306450895 | Angels By Surprise LLC | Home Health | 319 Chapanoke Rd Ste 114a, Raleigh, NC 27603-3433 | 2020-09-02 |
| 1740890128 | Mother Deborah Home Health Services Inc | Home Health | 2421 Timber Dr Ste 207, Raleigh, NC 27604-2265 | 2020-07-31 |
| 1679199160 | Dependable Home Care Service | Home Health | 8308 Tierra Del Sol Way, Raleigh, NC 27616-3512 | 2020-06-19 |
| 1972126282 | Twins Loving Care Services, LLC | Home Health | 4909 Waters Edge Dr Ste 102, Raleigh, NC 27606-2462 | 2020-05-20 |
| 1669094413 | Stalwart Home Health LLC | Home Health | 814 Rock Quarry Rd, Raleigh, NC 27610-5000 | 2020-05-15 |
| 1053933010 | Allied Medical Care, LLC | Home Health | 2421 Timber Dr, Raleigh, NC 27604-2248 | 2020-05-13 |
| 1275155160 | All-shift Home Health Agency LLC | Home Health | 3316 Rock Quarry Rd, Raleigh, NC 27610-5114 | 2020-05-13 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.