Twin State Home Healthcare Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TWIN STATE HOME HEALTHCARE SERVICES INC

Practice address

218 S Main St
Tabor City, NC 28463-1904

Phone

(910) 653-3136

Fax

(910) 653-5517

NPI assigned

Nov 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sterling G Koonce

Title

President Owner

Phone

(910) 653-3136

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicine Mart Home Healthcare svs. Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1053394775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S MAIN ST",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284631904",
            "telephone_number": "910-653-3136",
            "fax_number": "910-653-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S MAIN ST",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284631904",
            "telephone_number": "910-653-3136",
            "fax_number": "910-653-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN STATE HOME HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "910-653-3136",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700238",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME031",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Mart Home Healthcare svs. Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine Mart Home Healthcare svs. Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabor City Medicine Mart, Inc
• The Asbury Homes, Inc.
• Gayle Marie Thompson, D.C.
• William Hal Thompson, D.C.
• Tara Strickland Todd
• Twin States Vital Care, Inc.
• Angela F Vereen
• W. H. Thompson, D.C., P.C.
• Walgreen Co
• Waterside Healthcare Inc.

• Durable Medical Equipment & Medical Supplies in Tabor City, NC
• Providers in Tabor City, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.