MEDICARE: CENECA PARK DEVELOPERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	385H00000X	Respite Care
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1245049436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENECA PARK DEVELOPERS

Provider Business Mailing Address
First Line	:	8801 STEPHENSON RD
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539-7281
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4208 SIX FORKS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-5733
Country	:	US
Telephone Number	:	919-295-6197
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHANDRA PLATZ
Credential	:
Telephone Number	:	413-687-0507

Provider Enumeration Date	:	01/02/2025
Last Update Date	:	01/06/2025

Similar Medicare Providers

1992024335 — REBECCA ELISE QUIRK LCSW
Practice Location Address:

5313 EASTHORPE DR APT SUITE
RALEIGH, NC
27613-5733

Practice Phone: 919-397-5187
Practice Fax:

1427911783 — COURAGE TO THRIVE THERAPY PLLC
Practice Location Address:

5313 EASTHORPE DR
RALEIGH, NC
27613-5733

Practice Phone: 919-397-5187
Practice Fax: 919-397-5187

1598865438 — DR. MATTHEW D ELLISON M.D.
Practice Location Address:

3480 WAKE FOREST RD STE 404
RALEIGH, NC
27609-7376

Practice Phone: 919-862-5730
Practice Fax: 919-862-5733

1053664458 — TARA NIXON SLP
Practice Location Address:

5213 S ALSTON AVE
DURHAM, NC
27713-4430

Practice Phone: 919-620-1055
Practice Fax: 919-620-4921

1790223931 — COMMUNITY ANGEL FOUNDATION
Practice Location Address:

4011 VILLAGE PARK DR
KNIGHTDALE, NC
27545-7044

Practice Phone: 919-844-7755
Practice Fax: 800-480-5850

1477736973 — UNIVERSAL MENTAL HEALTH SERVICES, INC.
Practice Location Address:

3509 HAWORTH DR STE 100
RALEIGH, NC
27609-7223

Practice Phone: 919-872-3888
Practice Fax:

Directions to “CENECA PARK DEVELOPERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.