NPIMap

Organization Active NPI

Homefirst Healthcare Services, LLC

  • Nursing Care Agency
  • Newton, NC
National Provider Identifier
1033428289
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC0092 Issued in NC
Legal business name
HOMEFIRST HEALTHCARE SERVICES, LLC
Practice address
805 W. 25TH Street
Newton, NC 28658
Phone
(704) 962-5345
Fax
(844) 414-3194
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Vicki Whiteside
Title
Director Regulatory Services
Phone
(770) 248-8740

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X HC0092 NC
Nursing Care Agency 251J00000X HC0092 NC Primary
In Home Supportive Care Agency 253Z00000X HC0092 NC

Addresses

Primary practice location

805 W. 25TH Street
Newton, NC 28658

Mailing address

400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (770) 248-8740

Other identifiers 3

IdentifierTypeStateIssuer
6602189MedicaidNC
7100661MedicaidNC
3418977MedicaidNC

Other names 1

  • Aveanna Heatlhcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1033428289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "770-248-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W. 25TH STREET",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "28658",
            "telephone_number": "704-962-5345",
            "fax_number": "844-414-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEFIRST HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "DIRECTOR REGULATORY SERVICES",
        "authorized_official_telephone_number": "770-248-8740"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NC",
            "license": "HC0092",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC0092",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC0092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602189",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100661",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418977",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Heatlhcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.