Provider Demographics
NPI:1457050742
Name:CARERESTORELLC
Entity Type:Organization
Organization Name:CARERESTORELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:OBIAGELI
Authorized Official - Last Name:UZOCHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-400-0057
Mailing Address - Street 1:116 RIVER PEARL ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-4145
Mailing Address - Country:US
Mailing Address - Phone:919-400-0057
Mailing Address - Fax:
Practice Address - Street 1:116 RIVER PEARL ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-4145
Practice Address - Country:US
Practice Address - Phone:919-530-9323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Yes251K00000XAgenciesPublic Health or Welfare
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child