Healthcare Provider Details

I. General information

NPI: 1457050742
Provider Name (Legal Business Name): CARERESTORELLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 RIVER PEARL ST
RALEIGH NC
27603-4145
US

IV. Provider business mailing address

116 RIVER PEARL ST
RALEIGH NC
27603-4145
US

V. Phone/Fax

Practice location:
  • Phone: 919-530-9323
  • Fax:
Mailing address:
  • Phone: 919-400-0057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARITY OBIAGELI UZOCHUKWU
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D.
Phone: 919-400-0057