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MR. CARL DIEDRITCH SICKEROTT JR.
NPI 1518214022
Custodial Care Facility - Adult Care Home in Raleigh, NC

Active since August 14, 2012
2026 FAIRVIEW RD, RALEIGH, NC 27608(919) 946-1758 Get Directions Write a Review

NPPES record last updated: August 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Carl Diedritch Sickerott Jr. NPPES

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

MR. CARL DIEDRITCH SICKEROTT JR. (NPI 1518214022) is an individual adult care home provider in Raleigh, North Carolina, licensed in North Carolina (MHL-092-469) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1518214022
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameMR. CARL DIEDRITCH SICKEROTT JR.
Location Address2026 FAIRVIEW RDRaleigh, NC 27608-2316
Mailing Address2026 Fairview RdRaleigh, NC 27608-2316 · (919) 946-1758
Phone(919) 946-1758
Sole ProprietorYes
Enumeration DateAugust 14, 2012
Last NPPES UpdateAugust 24, 2012
✔ NPI 1518214022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · MHL-092-469
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2026 FAIRVIEW RD, Raleigh, NC 27608
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Other Identifiers 1

Medicaid7804353NC

Other Providers at the Same Location NPPES 2

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

THE BRAY HOME
Custodial Care Facility (Adult Care Home)
2026 FAIRVIEW RD
RALEIGH, NC 27608
Wake County (919) 946-1758
THE BRAY HOME
Custodial Care Facility (Adult Care Home)
2026 FAIRVIEW RD
RALEIGH, NC 27608
Wake County (919) 946-1758

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 Carl Sickerott's NPI number?

The NPI number for Carl Sickerott is 1518214022. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Carl Sickerott located?

Carl Sickerott practices at 2026 Fairview Rd, Raleigh, NC 27608. The listed phone number is (919) 946-1758.

What is Carl Sickerott's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Carl Sickerott was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.