NPI 1124696604 · live from the CMS NPI Registry
Assured Extra Care INC
Registered Nurse, Home Health in Raleigh, NC. National Provider Identifier 1124696604, active.
NPI record
| NPI | 1124696604 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Home Health 163WH0200X |
| Practice location | 5540 Centerview Dr Ste 200, Raleigh, NC 27606 |
| Practice phone | 832-794-5177 |
| Mailing address | 12203 Resident Cir # 12203, Cary, NC 27519 |
| Enumerated | June 11, 2021 |
| Last updated | June 11, 2021 |
| Authorized official | Omoyemi Fasheun, Administrator |
| Other names | Assured Extra Care INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — |
| Home Health Aide | 374U00000X | — |
| Respite Care | 385H00000X | — |
| Registered Nurse, Community Health | 163WC1500X | — |
| Occupational Therapy Assistant, Feeding, Eating & Swallowing | 224ZF0002X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Home Health | 251E00000X | — |
| Home Infusion | 251F00000X | — |
| Nursing Care | 251J00000X | — |
| Registered Nurse, Home Health primary | 163WH0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.