Provider Demographics
NPI:1629405873
Name:A PLUS HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:A PLUS HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:N
Authorized Official - Last Name:OKORORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-880-9110
Mailing Address - Street 1:901 KILDAIRE FARM ROAD
Mailing Address - Street 2:BUILDING C1 SUITE B
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511
Mailing Address - Country:US
Mailing Address - Phone:919-880-9110
Mailing Address - Fax:
Practice Address - Street 1:901 KILDAIRE FARM ROAD
Practice Address - Street 2:BUILDING C1 SUITE B
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511
Practice Address - Country:US
Practice Address - Phone:919-880-9110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC3973Medicaid