Providence Home Healthcare Company

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

HC3882 Issued in NC

Legal business name

PROVIDENCE HOME HEALTHCARE COMPANY

Practice address

530 E Central Ave
Mount Holly, NC 28120-2286

Phone

(704) 820-4582

Fax

(877) 582-3818

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Rolando Gutierrez

Title

Agency Director

Phone

(704) 820-4582

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Providence Home Healthcare Company3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Providence Home Healthcare Company

  • Durable Medical Equipment & Medical Supplies
  • Mount Holly, NC
  • NPI 1679803100
  NPD tax ID
• Providence Home Healthcare Company

  • Personal Care Attendant
  • Mount Holly, NC
  • NPI 1861725749
  NPD tax ID

Locations

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1033449566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E CENTRAL AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202286",
            "telephone_number": "704-820-4582",
            "fax_number": "877-582-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E CENTRAL AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202286",
            "telephone_number": "704-820-4582",
            "fax_number": "877-582-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME HEALTHCARE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-820-4582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC3882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DEPARTMENT OF HUMAN SERVICES",
            "identifier": "HC3882",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Pisano, DDS
• Sapna Jugnu Pithwa, DO
• Latamela Denishia Potts, LCSWA
• Premise Health of North Carolina Medical, P.C
• Cara M Price, M.S., CCC-SLP
• Providence Home Healthcare Company
• Providence Home Healthcare Company
• Pureheart Home Care, LLC
• Purple Tooth Dental
• Quiet Willow, PLLC

• Nursing Care Agency in Mount Holly, NC
• Providers in Mount Holly, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.