Randolph Hospital, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0522 Issued in NC

Legal business name

RANDOLPH HOSPITAL, INC.

Doing business as

Randolph Health Home Health

Practice address

364 White Oak St
Asheboro, NC 27203-5434

Phone

(336) 625-5151

Fax

(336) 633-7795

NPI assigned

Dec 14, 2005

Last updated

Feb 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Loretta M Long

Title

Cfo

Phone

(336) 625-5151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Randolph Health Home Health Doing business as

Locations

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1003891953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035434",
            "telephone_number": "336-633-7722",
            "fax_number": "336-625-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035434",
            "telephone_number": "336-625-5151",
            "fax_number": "336-633-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-625-5151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417007",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Health Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Randolph Health Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.