Organization Active NPI

A Successful Home Care LLC

  • In Home Supportive Care Agency
  • Battleboro, NC
National Provider Identifier
1003654377
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A SUCCESSFUL HOME CARE LLC
Practice address
6722 NC 97 W
Battleboro, NC 27809-9095
Phone
(252) 740-8862
NPI assigned
Jul 19, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Nakarla Davis
Title
Owner
Phone
(252) 740-8862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6722 NC 97 W
Battleboro, NC 27809-9095

Mailing address

6722 NC 97 W
Battleboro, NC 27809-9095
Phone (252) 740-8862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1003654377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 NC 97 W",
            "city": "BATTLEBORO",
            "state": "NC",
            "postal_code": "278099095",
            "telephone_number": "252-740-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 NC 97 W",
            "city": "BATTLEBORO",
            "state": "NC",
            "postal_code": "278099095",
            "telephone_number": "252-740-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SUCCESSFUL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NAKARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-740-8862"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battleboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.