Organization Active NPI

St. Vincent Home Care Services Inc.

  • In Home Supportive Care Agency
  • Goldsboro, NC
National Provider Identifier
1013077031
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ST. VINCENT HOME CARE SERVICES INC.
Practice address
1302 E. Ash Street
Goldsboro, NC 27530-5106
Phone
(919) 731-4850
Fax
(919) 731-4855
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Shannan Alicia Townsend, M.E.D
Title
Administrator
Phone
(919) 344-4150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X HC3584 NC

Addresses

Primary practice location

1302 E. Ash Street
Goldsboro, NC 27530-5106

Mailing address

1302 E. Ash Street
Goldsboro, NC 27530-5106
Phone (919) 731-4850

National Provider Directory

National Provider Directory
Tax ID family
St Vincent Home Care Agency2 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.

Locations

208 W Ash St
Ste 4
Goldsboro, NC 27530

1302 E Ash St
Goldsboro, NC 27530
Phone (919) 731-4850

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1013077031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E. ASH STREET",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305106",
            "telephone_number": "919-731-4850",
            "fax_number": "919-731-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E. ASH STREET",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305106",
            "telephone_number": "919-731-4850",
            "fax_number": "919-731-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOME CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-344-4150",
        "authorized_official_credential": "M.E.D"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC3584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.