Organization Active NPI

Montgomery Care Services, LLC

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1053903971
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MONTGOMERY CARE SERVICES, LLC
Practice address
163 Stratford CT Ste 125
Winston Salem, NC 27103-1830
Phone
(336) 408-0806
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Donna R Montgomery
Title
Agency Director
Phone
(336) 618-3015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

163 Stratford CT Ste 125
Winston Salem, NC 27103-1830

Mailing address

PO Box 24742
Winston Salem, NC 27114-4742
Phone (336) 408-0806

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Information@montgomerycares.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

163 Stratford Ct
Ste 125
Winston Salem, NC 27103
Phone (336) 408-0806

Interoperability endpoints

  • Direct secure messaging: information@montgomerycares.net

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1053903971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24742",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271144742",
            "telephone_number": "336-408-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 STRATFORD CT STE 125",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031830",
            "telephone_number": "336-408-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "336-618-3015"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Information@montgomerycares.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "163 Stratford Ct Ste 125",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271031830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.