Organization Active NPI

Appalachian Home Care LLC

  • Home Health Agency
  • Boone, NC
National Provider Identifier
1003984865
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2391 Issued in NC
Legal business name
APPALACHIAN HOME CARE LLC
Practice address
7929 NC Highway 105 S
Suite B
Boone, NC 28607-8015
Phone
(828) 963-8233
Fax
(828) 963-7375
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Ellen Harrell, MPH
Title
Executive Director/Owner
Phone
(828) 963-8233

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X HC2391 NC
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X HC2391 NC
Home Health Agency 251E00000X HC2391 NC Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X HC2391 NC

Addresses

Primary practice location

7929 NC Highway 105 S
Suite B
Boone, NC 28607-8015

Mailing address

7929 NC Highway 105 S
Suite B
Boone, NC 28607-8015
Phone (828) 963-8233

Other identifiers 5

IdentifierTypeStateIssuer
6601038MedicaidNC
7100520MedicaidNC
6600980MedicaidNC
7100500MedicaidNC
3409570MedicaidNC

National Provider Directory

National Provider Directory

Locations

7929 NC Highway 105 S
Unit B
Boone, NC 28607
Phone (828) 963-8233

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1003984865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 NC HIGHWAY 105 S",
            "address_2": "SUITE B",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078015",
            "telephone_number": "828-963-8233",
            "fax_number": "828-963-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 NC HIGHWAY 105 S",
            "address_2": "SUITE B",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078015",
            "telephone_number": "828-963-8233",
            "fax_number": "828-963-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "828-963-8233",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "HC2391",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "HC2391",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2391",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC2391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601038",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100520",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600980",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100500",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409570",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.