Provider Demographics
NPI:1922645100
Name:ST' EPHRAIMS HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ST' EPHRAIMS HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:UCHECHI
Authorized Official - Middle Name:
Authorized Official - Last Name:OKPARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-809-2516
Mailing Address - Street 1:5250 PORTSIDE LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1559
Mailing Address - Country:US
Mailing Address - Phone:919-809-2516
Mailing Address - Fax:
Practice Address - Street 1:5250 PORTSIDE LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1559
Practice Address - Country:US
Practice Address - Phone:919-809-2516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care