Organization Active NPI

Carolina Nursing Services

  • In Home Supportive Care Agency
  • Rocky Mount, NC
National Provider Identifier
1083738843
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC1471 Issued in NC
Legal business name
CAROLINA NURSING SERVICES
Practice address
3204 Sunset Ave Ste C
Rocky Mount, NC 27804-3588
Phone
(252) 443-6800
Fax
(252) 443-7101
NPI assigned
Mar 19, 2007
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Margaret Amy Moore
Title
Owner Registered Nurse
Phone
(252) 443-6800

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X HC1471 NC
Home Health Agency 251E00000X HC1471 NC
Home Health Agency 251E00000X HC4333 NC
Nursing Care Agency 251J00000X HC1471 NC
Durable Medical Equipment & Medical Supplies 332B00000X HC1471 NC
Home Delivered Meals 332U00000X HC1471 NC
Respite Care 385H00000X HC1471 NC
Emergency Response System Companies 333300000X HC1471 NC
In Home Supportive Care Agency 253Z00000X HC1471 NC Primary
In Home Supportive Care Agency 253Z00000X HC4333 NC

Addresses

Primary practice location

3204 Sunset Ave Ste C
Rocky Mount, NC 27804-3588

Mailing address

3204 Sunset Ave Ste C
Rocky Mount, NC 27804-3588
Phone (252) 443-6800

Other identifiers 4

IdentifierTypeStateIssuer
3409188MedicaidNC
6602276MedicaidNC
6600695MedicaidNC
7100319MedicaidNC

National Provider Directory

National Provider Directory

Locations

3204 Sunset Ave
Ste C
Rocky Mount, NC 27804
Phone (252) 314-7097

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1083738843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 SUNSET AVE STE C",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043588",
            "telephone_number": "252-443-6800",
            "fax_number": "252-443-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 SUNSET AVE STE C",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043588",
            "telephone_number": "252-443-6800",
            "fax_number": "252-443-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "AMY",
        "authorized_official_title_or_position": "OWNER REGISTERED NURSE",
        "authorized_official_telephone_number": "252-443-6800"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "HC1471",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1471",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4333",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC1471",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "HC1471",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NC",
            "license": "HC1471",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "HC1471",
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NC",
            "license": "HC1471",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC1471",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409188",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602276",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600695",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100319",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.