Organization Active NPI

Faith Home Care of NC

  • Home Health Agency
  • Washington, NC
National Provider Identifier
1063579852
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH HOME CARE OF NC
Practice address
1201 Carolina Ave
Suite 103
Washington, NC 27889-3751
Phone
(252) 948-0052
Fax
(252) 948-0059
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Bonita Wright
Title
Agency Director
Phone
(252) 948-0052

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X HC3405 NC

Addresses

Primary practice location

1201 Carolina Ave
Suite 103
Washington, NC 27889-3751

Mailing address

PO Box 736
Chocowinity, NC 27817
Phone (252) 948-0052

Other identifiers 1

IdentifierTypeStateIssuer
6601502MedicaidNC

National Provider Directory

National Provider Directory

Locations

1201 Carolina Ave
Ste 103
Washington, NC 27889
Phone (252) 948-0052

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1063579852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "27817",
            "telephone_number": "252-948-0052",
            "fax_number": "252-948-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CAROLINA AVE",
            "address_2": "SUITE 103",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893751",
            "telephone_number": "252-948-0052",
            "fax_number": "252-948-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOME CARE OF NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BONITA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "252-948-0052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC3405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601502",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.