Healthcare Provider Details

I. General information

NPI: 1407469158
Provider Name (Legal Business Name): OACES COMMUNITY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N FRONT ST
WILMINGTON NC
28401-3908
US

IV. Provider business mailing address

5 SWINDELL CT
DURHAM NC
27703-8325
US

V. Phone/Fax

Practice location:
  • Phone: 919-667-6887
  • Fax: 833-730-0706
Mailing address:
  • Phone: 919-667-6887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JUMOKA AYAANA MURRAY
Title or Position: OWNER
Credential:
Phone: 919-667-6887