Provider Demographics
NPI:1962735886
Name:GLOBAL HEALTHCARE RESOURCES, INC
Entity type:Organization
Organization Name:GLOBAL HEALTHCARE RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:CHIDEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-848-9099
Mailing Address - Street 1:1307 E MILLBROOK RD STE C106
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5476
Mailing Address - Country:US
Mailing Address - Phone:919-848-9099
Mailing Address - Fax:919-848-9134
Practice Address - Street 1:1307 E MILLBROOK RD STE C106
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5476
Practice Address - Country:US
Practice Address - Phone:919-848-9099
Practice Address - Fax:919-848-9134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3881251E00000X
251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1962735886Medicaid