Healthcare Provider Details

I. General information

NPI: 1043036817
Provider Name (Legal Business Name): BUMAX HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 11/26/2024
Certification Date: 11/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 EDENWOOD DR
GREENSBORO NC
27406-5219
US

IV. Provider business mailing address

814 ROCK QUARRY ROAD
RALEIGH NC
27610
US

V. Phone/Fax

Practice location:
  • Phone: 984-269-3401
  • Fax:
Mailing address:
  • Phone: 984-269-3401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MADUABUCHI IKECHUKWU ONYEGBULE
Title or Position: OWNER
Credential: MD
Phone: 984-269-3401