Martin-Tyrrell-Washington District Health Department

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0523 Issued in NC

Legal business name

MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT

Doing business as

Roanoke Home Care & Hospice

Practice address

198 NC Highway 45 N
Plymouth, NC 27962-9232

Phone

(252) 791-3138

Fax

(252) 791-3158

NPI assigned

Aug 16, 2005

Last updated

Nov 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine W Davis, RNNPI 1508166885

Title

Home Care Director

Phone

(252) 791-3145

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Roanoke Home Care & Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Adoration Home Health Care Virginia, LLC

  • Home Health Agency
  • Plymouth, NC
  • NPI 1225867278

  Sold to, 2024-09-01

  CMS change of ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Winesett Davis, RN

  • Registered Nurse
  • Plymouth, NC
  • NPI 1508166885
  Authorized official Same address or phone
• John Alberto Sanchez, DO

  • Family Medicine Physician
  • Nags Head, NC
  • NPI 1811949985
  NPD

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1083606206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-791-3138",
            "fax_number": "252-791-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-791-3138",
            "fax_number": "252-791-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "252-791-3145",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407008",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00753",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roanoke Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roanoke Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin Tyrrell Washington District Health Department
• Martin Tyrrell Washington District Health Department
• Martin Tyrrell Washington District Health Department
• Martin Tyrrell Washington District Health Dept
• Martin Tyrrell Washington District Health Dept (Martin Tyrrell Washington District Dental Clinic)
• Martin-Tyrrell-Washington District Health Department (Roanoke Home Care & Hospice)
• Martin-Tyrrell-Washington District Health Department (Roanoke Home Care & Hospice)
• Martin-Tyrrell-Washington District Health Department (Roanoke Home Care & Hospice)
• Phyllis Cantrell McCombs, RN
• Holly M McNair

• Home Health Agency in Plymouth, NC
• Providers in Plymouth, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.