Organization Active NPI

Personal Care Services, LTD

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1013102938
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1159 Issued in NC
Legal business name
PERSONAL CARE SERVICES, LTD
Practice address
1624 S Hawthorne Rd
Office C
Winston Salem, NC 27103-4128
Phone
(336) 723-4210
Fax
(336) 768-3344
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Ms. Teresa C Kern
Title
President
Phone
(336) 723-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1159 NC Primary

Addresses

Primary practice location

1624 S Hawthorne Rd
Office C
Winston Salem, NC 27103-4128

Mailing address

1624 S Hawthorne Rd
Office C
Winston Salem, NC 27103-4128
Phone (336) 723-4210

Other identifiers 1

IdentifierTypeStateIssuer
66000268MedicaidNC

National Provider Directory

National Provider Directory

Locations

1624 S Hawthorne Rd
Ofc C
Winston Salem, NC 27103
Phone (336) 723-4210

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1013102938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S HAWTHORNE RD",
            "address_2": "OFFICE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034128",
            "telephone_number": "336-723-4210",
            "fax_number": "336-768-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S HAWTHORNE RD",
            "address_2": "OFFICE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034128",
            "telephone_number": "336-723-4210",
            "fax_number": "336-768-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-723-4210",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66000268",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.