Provider Demographics
NPI:1659793743
Name:CARE ONE NURSING SERVICE
Entity Type:Organization
Organization Name:CARE ONE NURSING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NURUDEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBEJULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-205-1164
Mailing Address - Street 1:1327 N BRIGHTLEAF BLVD
Mailing Address - Street 2:BUILDING F,SUITE B
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-7263
Mailing Address - Country:US
Mailing Address - Phone:919-205-1164
Mailing Address - Fax:919-205-1165
Practice Address - Street 1:1327 N BRIGHTLEAF BLVD
Practice Address - Street 2:BUILDING F,SUITE B
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-7263
Practice Address - Country:US
Practice Address - Phone:919-205-1164
Practice Address - Fax:919-205-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2520251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care