WAKEMED SPECIALISTS GROUP LLC NPI 1255995643

NPI Information

  • NPI: 1255995643
  • Provider Name: WAKEMED SPECIALISTS GROUP LLC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: WAKEMED HOSPITALIST GROUP HOME
  • Address: 2820 KIDD RD
    RALEIGH, NC
    ZIP 27610
  • Phone: (919) 350-2800

Map and Directions

Get Directions

NPI Details

WAKEMED SPECIALISTS GROUP LLC is an intermediate care facility mentally retarded in Raleigh, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. WAKEMED SPECIALISTS GROUP LLC NPI is 1255995643. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Hospitalist Group Home.

The provider's business location address is:

2820 KIDD RD
RALEIGH, NC
ZIP 27610-842
Phone: (919) 350-2800
Fax: (919) 350-8147

The provider's authorized official is Maria Jayoussi .
The authorized official title is Executive Director Of Finance and has the following contact phone number (919) 350-6089.

The enumeration date for this NPI number is 5/1/2019 and was last updated on 8/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
3315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11255995643MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI