Organization Active NPI

Major Home Care Agency

  • Nurse's Aide
  • Atkinson, NC
National Provider Identifier
1083735252
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
HC1837 Issued in NC
Legal business name
MAJOR HOME CARE AGENCY
Practice address
106 West Church Street
Atkinson, NC 28421-9231
Phone
(910) 283-9444
Fax
(910) 283-9445
NPI assigned
Apr 3, 2007
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Ms. Pearl Louise Jones
Title
President
Phone
(910) 231-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X HC1837 NC Primary

Addresses

Primary practice location

106 West Church Street
Atkinson, NC 28421-9231

Mailing address

PO Box 663
529 North Sunset
Atkinson, NC 28421-9231
Phone (910) 283-9444

Other identifiers 2

IdentifierTypeStateIssuer
6600688MedicaidNC
3409193MedicaidNC

National Provider Directory

National Provider Directory

Locations

106 W Church St
Atkinson, NC 28421
Phone (910) 283-9444

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1083735252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "address_2": "529 NORTH SUNSET",
            "city": "ATKINSON",
            "state": "NC",
            "postal_code": "284219231",
            "telephone_number": "910-283-9444",
            "fax_number": "910-283-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WEST CHURCH STREET",
            "city": "ATKINSON",
            "state": "NC",
            "postal_code": "284219231",
            "telephone_number": "910-283-9444",
            "fax_number": "910-283-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-231-9166",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC1837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600688",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409193",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atkinson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.