Care Providers of Wilmington

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2343 Issued in NC

Legal business name

CARE PROVIDERS OF WILMINGTON

Practice address

1612 Doctors Cir
Wilmington, NC 28401-7406

Phone

(910) 254-9500

Fax

(910) 254-1492

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jasper Percell Reed, D ED

Title

Owner President

Phone

(910) 254-9500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1053408286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036000",
            "telephone_number": "910-792-6296",
            "fax_number": "910-254-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 DOCTORS CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017406",
            "telephone_number": "910-254-9500",
            "fax_number": "910-254-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PROVIDERS OF WILMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JASPER",
        "authorized_official_middle_name": "PERCELL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "910-254-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D ED"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600998",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408228",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wilmington, NC
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.