Active NPI
County of Bladen Office of Auditor
- Home Health Agency
- Elizabethtown, NC
National Provider Identifier
1043370737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC0481
- Legal business name
- COUNTY OF BLADEN OFFICE OF AUDITOR
- Practice address
- 300 Mercer Road
Elizabethtown, NC 28337-0189 - Phone
- (910) 862-6901
- Fax
- (910) 862-6886
- NPI assigned
- Dec 11, 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
- Mrs. Djuana Register
- Title
- Administrative Officer
- Phone
- (910) 872-6209
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | HC0481 | NC | |
| Home Health Agency | 251E00000X | HC0481 | NC | Primary |
Addresses
Primary practice location
300 Mercer Road
Elizabethtown, NC 28337-0189
Mailing address
PO Box 189
Elizabethtown, NC 28337-0189
Phone (910) 862-6901
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00707 | Other | NC | BLUE CROSS BLUE SHIELD |
| 3407097 | Medicaid | NC | |
| 34D0655367 | Other | NC | CLIA |
Other names 1
- Bladen County Home Health Agency
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449792000000",
"number": "1043370737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283370189",
"telephone_number": "910-862-6901",
"fax_number": "910-862-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MERCER ROAD",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283370189",
"telephone_number": "910-862-6901",
"fax_number": "910-862-6886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF BLADEN OFFICE OF AUDITOR",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2015-12-11",
"status": "A",
"authorized_official_last_name": "REGISTER",
"authorized_official_first_name": "DJUANA",
"authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "910-872-6209",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": "HC0481",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00707",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3407097",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "34D0655367",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bladen County Home Health Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabethtown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.