Provider Demographics
NPI:1023391828
Name:FRANVIMAG HOME CARE L.L.C
Entity Type:Organization
Organization Name:FRANVIMAG HOME CARE L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:CHIAZOR
Authorized Official - Last Name:NWACHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-282-4820
Mailing Address - Street 1:1140 KILDAIRE FARM RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4562
Mailing Address - Country:US
Mailing Address - Phone:919-238-7061
Mailing Address - Fax:919-238-4544
Practice Address - Street 1:1140 KILDAIRE FARM RD
Practice Address - Street 2:SUITE 208
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4562
Practice Address - Country:US
Practice Address - Phone:919-238-7061
Practice Address - Fax:919-238-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4450251F00000X, 251J00000X, 253Z00000X, 3747P1801X, 385H00000X, 385HR2065X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No251F00000XAgenciesHome InfusionGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3419252Medicaid
NC6602293Medicaid