Healthcare Provider Details

I. General information

NPI: 1093626384
Provider Name (Legal Business Name): NEXARA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CENTERVIEW DR
GREENSBORO NC
27407-3717
US

IV. Provider business mailing address

2 CENTERVIEW DR
GREENSBORO NC
27407-3717
US

V. Phone/Fax

Practice location:
  • Phone: 844-446-6969
  • Fax: 704-931-5246
Mailing address:
  • Phone: 844-446-6969
  • Fax: 704-931-5246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: NIGATU N KASSA
Title or Position: MANAGER
Credential:
Phone: 844-446-6969