NPIMap

Organization Active NPI

At Home Senior Services, Inc.

  • Home Health Agency
  • Fuquay Varina, NC
National Provider Identifier
1013221688
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3283 Issued in NC
Legal business name
AT HOME SENIOR SERVICES, INC.
Practice address
1000 N. Main Street
Suite 201
Fuquay Varina, NC 27526
Phone
(919) 557-4663
Fax
(919) 557-4673
NPI assigned
Aug 5, 2010
Organization subpart
Yes
Parent organization
HOMECHOICE HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Mrs. Lyn Brandenburg
Title
Compliance Director
Phone
(919) 557-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3283 NC Primary

Addresses

Primary practice location

1000 N. Main Street
Suite 201
Fuquay Varina, NC 27526

Mailing address

PO Box 1185
Fuquay Varina, NC 27526
Phone (919) 557-4663

Other identifiers 1

IdentifierTypeStateIssuer
3418087MedicaidNC

Other names 1

  • HomeChoice Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At Home Senior Services Inc9 organizations share this tax ID, including this one
Part of
At Home Senior Services Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1013221688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1185",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "27526",
            "telephone_number": "919-557-4663",
            "fax_number": "919-557-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "27526",
            "telephone_number": "919-557-4663",
            "fax_number": "919-557-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME SENIOR SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMECHOICE HEALTHCARE",
        "enumeration_date": "2010-08-05",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "LYN",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "919-557-4663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418087",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeChoice Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.