NPIMap

Organization Active NPI

Person Home Health, Inc.

Doing business as Home Health Professionals

  • Home Infusion Agency
  • Roxboro, NC
National Provider Identifier
1063695229
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
HC0354 Issued in NC
Legal business name
PERSON HOME HEALTH, INC.
Doing business as
Home Health Professionals
Practice address
807 N Madison Blvd
Roxboro, NC 27573-4639
Phone
(336) 597-3050
Fax
(336) 597-4703
NPI assigned
Dec 11, 2007
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mr. Nick W Elledge
Title
Vice President
Phone
(336) 679-8852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X HC0354 NC Primary

Addresses

Primary practice location

807 N Madison Blvd
Roxboro, NC 27573-4639

Mailing address

PO Box 1084
Roxboro, NC 27573-1084
Phone (336) 597-3050

Other identifiers 1

IdentifierTypeStateIssuer
6800112MedicaidNC

Other names 1

  • Home Health Professionals Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1063695229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275731084",
            "telephone_number": "336-597-3050",
            "fax_number": "336-597-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N MADISON BLVD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734639",
            "telephone_number": "336-597-3050",
            "fax_number": "336-597-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "ELLEDGE",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-679-8852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NC",
            "license": "HC0354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800112",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.