Structured Chaos
Early Intervention Provider Agency in Raleigh, NC. Organization (NPI-2).
NPI number1366024465
StatusActive
Last updated in NPPESApr 27, 2021
Details
- NPI
- 1366024465
- Entity type
- Organization (NPI-2)
- Legal business name
- Structured Chaos
- Organization subpart
- No
- Enumeration date
- Apr 27, 2021
- Certification date
- Apr 27, 2021
- Last updated
- Apr 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
700 Marsh Grass DrRaleigh, NC 27610-2194
Phone 919-389-7686
Mailing address
700 Marsh Grass DrRaleigh, NC 27610-2194
Phone 919-389-7686
Authorized official
Candace Jennette
Owner
9193897686
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Early Intervention Provider Agency providers in Raleigh · All 22,031 providers in Raleigh
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