Organization Active NPI

Restoration Home Care Services Inc.

  • Home Health Agency
  • Conover, NC
National Provider Identifier
1003118670
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3970 Issued in NC
Legal business name
RESTORATION HOME CARE SERVICES INC.
Practice address
410 1St Ave S Ste 3
Conover, NC 28613-2704
Phone
(704) 325-3814
Fax
(704) 325-3812
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Diane Mayfield Sherrill
Title
Owner/Operator
Phone
(704) 325-3814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3970 NC Primary

Addresses

Primary practice location

410 1St Ave S Ste 3
Conover, NC 28613-2704

Mailing address

410 1St Ave S Ste 3
Conover, NC 28613-2704
Phone (704) 325-3814

Other identifiers 1

IdentifierTypeStateIssuer
6601998MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Restoration Home Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1003118670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 1ST AVE S STE 3",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132704",
            "telephone_number": "704-325-3814",
            "fax_number": "704-325-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 1ST AVE S STE 3",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132704",
            "telephone_number": "704-325-3814",
            "fax_number": "704-325-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HOME CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MAYFIELD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "704-325-3814",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601998",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.