Active NPI
In Home Health LLC
- Home Health Agency
- Raleigh, NC
National Provider Identifier
1023051612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC0918
- Legal business name
- IN HOME HEALTH LLC
- Practice address
- 3200 Atlantic Ave
Suite 100
Raleigh, NC 27604-1668 - Phone
- (919) 877-9959
- Fax
- (919) 877-9899
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barry A Lazarus
- Title
- Vice President - Reimbursements
- Phone
- (419) 252-5541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC0918 | NC | Primary |
Addresses
Primary practice location
3200 Atlantic Ave
Suite 100
Raleigh, NC 27604-1668
Mailing address
333 N Summit St
Attn: Dean Shipman
Toledo, OH 43604-1531
Phone (419) 254-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600407 | Medicaid | NC |
Other names 1
- Heartland Home Health Care
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231977600000",
"number": "1023051612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"address_2": "ATTN: DEAN SHIPMAN",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-254-7841",
"fax_number": "419-252-6448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 ATLANTIC AVE",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041668",
"telephone_number": "919-877-9959",
"fax_number": "919-877-9899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2009-01-15",
"status": "A",
"authorized_official_last_name": "LAZARUS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
"authorized_official_telephone_number": "419-252-5541",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600407",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.