=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144269523
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOYNER HEALTHCARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2006
-----------------------------------------------------
Last Update Date | 06/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3404 ROCK QUARRY RD
-----------------------------------------------------
City | RALEIGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27610-5116
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-829-2600
-----------------------------------------------------
Fax | 919-829-0078
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3404 ROCK QUARRY RD
-----------------------------------------------------
City | RALEIGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27610-5116
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-829-2600
-----------------------------------------------------
Fax | 919-829-0078
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MS. CHIZOBA NNAMANI
-----------------------------------------------------
Credential | BSC
-----------------------------------------------------
Telephone | 919-829-2600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC2193
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------