Healthcare Provider Details

I. General information

NPI: 1528743440
Provider Name (Legal Business Name): ABOUTHEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 WAKE FOREST RD STE 240
RALEIGH NC
27609-6859
US

IV. Provider business mailing address

185 PARAGGI CT
CLAYTON NC
27527-9222
US

V. Phone/Fax

Practice location:
  • Phone: 919-321-9435
  • Fax: 919-321-9436
Mailing address:
  • Phone: 919-604-3560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. MATTHEW JOHN O'CONNOR
Title or Position: PRESIDENT
Credential:
Phone: 919-604-3560