Active NPI
Tourmaline Home Care, LLC
- Home Health Agency
- Greensboro, NC
National Provider Identifier
1083373005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TOURMALINE HOME CARE, LLC
- Practice address
- 204 Muirs Chapel Rd Ste 336
Greensboro, NC 27410-6173 - Phone
- (336) 848-6601
- NPI assigned
- Dec 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Chantell N Cooper
- Title
- Ceo
- Phone
- (336) 848-6601
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
204 Muirs Chapel Rd Ste 336
Greensboro, NC 27410-6173
Mailing address
204 Muirs Chapel Rd Ste 336
Greensboro, NC 27410-6173
Phone (336) 848-6601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC6394 | Medicaid | NC |
Other names 1
- Tourmaline Home Health Care
National Provider Directory
National Provider DirectoryLocations
204 Muirs Chapel Rd
Ste 336
Greensboro, NC 27410
Phone (336) 848-6601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639699200000",
"number": "1083373005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MUIRS CHAPEL RD STE 336",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274106173",
"telephone_number": "336-848-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MUIRS CHAPEL RD STE 336",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274106173",
"telephone_number": "336-848-6601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOURMALINE HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "CHANTELL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-848-6601",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC6394",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tourmaline Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.