Provider Demographics
NPI:1104685585
Name:HEPHER CARE SERVICES LLC
Entity type:Organization
Organization Name:HEPHER CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUWAGBENGA
Authorized Official - Middle Name:
Authorized Official - Last Name:OYENEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-791-5685
Mailing Address - Street 1:186 MAJESTIC PEAK DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6298
Mailing Address - Country:US
Mailing Address - Phone:919-791-5685
Mailing Address - Fax:
Practice Address - Street 1:186 MAJESTIC PEAK DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6298
Practice Address - Country:US
Practice Address - Phone:919-791-5685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child