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WAKEMED HOSPITALIST GROUP HOME
NPI 1255995643
Intermediate Care Facility, Intellectual Disabilities in Raleigh, NC

Active since May 01, 2019
2820 KIDD RD, RALEIGH, NC 27610(919) 350-2800(919) 350-8147 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2019, May 1, 2019 (2 updates tracked since 2019).

About Wakemed Hospitalist Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKEMED HOSPITALIST GROUP HOME (NPI 1255995643) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Raleigh, North Carolina and active in the NPI registry since May 2019. The organization lists Maria Jayoussi, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1255995643
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameWAKEMED SPECIALISTS GROUP LLC
Location Address2820 KIDD RDRaleigh, NC 27610-1842
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0552 · Fax (919) 350-7687
Phone(919) 350-2800
Fax(919) 350-8147
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Of Finance · (919) 350-6089
Enumeration DateMay 1, 2019
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1255995643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
2820 KIDD RD, Raleigh, NC 27610
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Other Names 1

Doing Business AsWakemed Hospitalist Group Home

Other Identifiers 1

Medicaid1255995643NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASHIRA MONE HALL LPN
Licensed Practical Nurse
2820 KIDD RD
RALEIGH, NC 27610
Wake County (919) 231-8315
WAKE SPECIALTY PHYSICIANS LLC
Intermediate Care Facility, Intellectual Disabilities
2820 KIDD RD
RALEIGH, NC 27610
Wake County (919) 350-2800
HILLTOP HOME INC.
Intermediate Care Facility, Intellectual Disabilities
2820 KIDD RD
RALEIGH, NC 27610
Wake County (919) 231-8315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wakemed Specialists Group LLC's NPI number?

The NPI number for Wakemed Specialists Group LLC is 1255995643. It was assigned to this organization in the NPPES registry on May 1, 2019. The provider is doing business as Wakemed Hospitalist Group Home.

Where is Wakemed Specialists Group LLC located?

Wakemed Specialists Group LLC is located at 2820 Kidd Rd, Raleigh, NC 27610. The listed phone number is (919) 350-2800.

What is Wakemed Specialists Group LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Wakemed Specialists Group LLC was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.