Organization Active NPI

Bailey Home Health Care Services Inc

Doing business as Bailey Home Care Inc

  • Home Health Agency
  • Wilmington, NC
National Provider Identifier
1053625830
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4147 Issued in NC
Legal business name
BAILEY HOME HEALTH CARE SERVICES INC
Doing business as
Bailey Home Care Inc
Practice address
4701 Wrightsville Ave Ste 2-105
Wilmington, NC 28403-6933
Phone
(910) 399-3465
Fax
(800) 915-0237
NPI assigned
Aug 4, 2010
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Mr. Tashombi Azeckry BaileyNPI 1356106363
Title
Director
Phone
(910) 399-3465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4147 NC Primary

Addresses

Primary practice location

4701 Wrightsville Ave Ste 2-105
Wilmington, NC 28403-6933

Mailing address

4701 Wrightsville Ave Ste 2-105
Wilmington, NC 28403-6933
Phone (910) 399-3465

Other identifiers 1

IdentifierTypeStateIssuer
1750617767OtherNCAPPLY FOR NPI

Other names 1

  • BAILEY HOME CARE INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bailey Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

217 N 5th Ave
Wilmington, NC 28401

217 N 5th Ave
Ste 201202
Wilmington, NC 28401

4701 Wrightsville Ave
Ste 2-105
Wilmington, NC 28403
Phone (910) 399-3465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1053625830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 WRIGHTSVILLE AVE STE 2-105",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036933",
            "telephone_number": "910-399-3465",
            "fax_number": "800-915-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 WRIGHTSVILLE AVE STE 2-105",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036933",
            "telephone_number": "910-399-3465",
            "fax_number": "800-915-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY HOME HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TASHOMBI",
        "authorized_official_middle_name": "AZECKRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-399-3465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLY FOR NPI",
            "identifier": "1750617767",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAILEY HOME CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.