NPIMap

Organization Active NPI

Carrisma Home Care, LLC

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1023363520
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4558 Issued in NC
Legal business name
CARRISMA HOME CARE, LLC
Practice address
1396 Old Mill Cir
Suite 1-a
Winston Salem, NC 27103-2976
Phone
(336) 765-0806
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Tammy Carr
Title
Owner
Phone
(336) 403-3677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4558 NC Primary

Addresses

Primary practice location

1396 Old Mill Cir
Suite 1-a
Winston Salem, NC 27103-2976

Mailing address

P. O. Box 26611
Winston Salem, NC 27114-6611
Phone (336) 765-0806

Other identifiers 1

IdentifierTypeStateIssuer
HC4558OtherNCHOME CARE SERVICES: IN-HOME AIDE, COMPANION, SITTER, RESPITE

National Provider Directory

National Provider Directory

Locations

1396 Old Mill Cir
Ste 1A
Winston Salem, NC 27103
Phone (336) 765-0806

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1023363520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 26611",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271146611",
            "telephone_number": "336-765-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 OLD MILL CIR",
            "address_2": "SUITE 1-A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032976",
            "telephone_number": "336-765-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRISMA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-403-3677"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE SERVICES: IN-HOME AIDE, COMPANION, SITTER, RESPITE",
            "identifier": "HC4558",
            "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 Mar 2, 2015; 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.