NPIMap

Organization Active NPI

Family Homecare Services Inc

  • Home Health Agency
  • Peachland, NC
National Provider Identifier
1073668778
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC35174 Issued in NC
Legal business name
FAMILY HOMECARE SERVICES INC
Practice address
215 School St
C
Peachland, NC 28133
Phone
(704) 272-7098
Fax
(704) 272-7068
NPI assigned
Jan 24, 2007
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Tega Burns
Title
President
Phone
(704) 272-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC35174 NC Primary

Addresses

Primary practice location

215 School St
C
Peachland, NC 28133

Mailing address

215 School St
Peachland, NC 28133
Phone (704) 272-7098

Other identifiers 2

IdentifierTypeStateIssuer
3418252MedicaidNC
6601613MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1073668778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHOOL ST",
            "city": "PEACHLAND",
            "state": "NC",
            "postal_code": "28133",
            "telephone_number": "704-272-7098",
            "fax_number": "704-272-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SCHOOL ST",
            "address_2": "C",
            "city": "PEACHLAND",
            "state": "NC",
            "postal_code": "28133",
            "telephone_number": "704-272-7098",
            "fax_number": "704-272-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "TEGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-272-7098"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC35174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418252",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601613",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachland, NC

Sources for this page

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