Healthcare Provider Details
I. General information
NPI: 1457256760
Provider Name (Legal Business Name): SELECT SENIOR CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
851 WASHINGTON ST
RALEIGH NC
27605-1255
US
IV. Provider business mailing address
5545 DUNALLIE DR
FUQUAY VARINA NC
27526-9202
US
V. Phone/Fax
- Phone: 919-246-4244
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SARAH
BEARGIE
Title or Position: FOUNDER, AGENCY DIRECTOR
Credential: BSN, RN
Phone: 850-530-1649