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Organization
WAKEMED
Active
Organization
WAKEMED
Active
Parent organization
WAKEMED
Other names
WakeMed Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKEMED
Authorized official
MS. JENNIFER MCLUCAS-INGOLD (EXECUTIVE DIRECTOR, HOME HEALTH)
(919) 350-0236
Entity
Organization
Contact information
Practice address
2920 HIGHWOODS BLVD, SUITE 200, RALEIGH, NC 27604-1015
(919) 350-7990
(919) 350-0111
Mailing address
2920 HIGHWOODS BLVD, SUITE 200, RALEIGH, NC 27604-1015
(919) 350-7990
(919) 350-0111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070H
BCBS PROVIDER NUMBER
NC
05
—
3417179
—
NC
01
—
347179
MEDICARE
NC
Enumeration date
11/21/2005
Last updated
03/05/2021
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