Healthcare Provider Details

I. General information

NPI: 1003736380
Provider Name (Legal Business Name): CLAYTON CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 LATHAM OAKS AVE
WAKE FOREST NC
27587-2548
US

IV. Provider business mailing address

2108 LATHAM OAKS AVE
WAKE FOREST NC
27587-2548
US

V. Phone/Fax

Practice location:
  • Phone: 919-904-8524
  • Fax:
Mailing address:
  • Phone: 919-904-8524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. TAMUNOTONYE FIABEMA
Title or Position: CEO
Credential:
Phone: 919-904-8524