CHG-PCS Salisbury

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3919 Issued in NC

Legal business name

CHG-PCS SALISBURY

Practice address

909 S Main St
Salisbury, NC 28144-6416

Phone

(704) 720-0668

Fax

(704) 720-0669

NPI assigned

Jul 2, 2012

Organization subpart

Yes

Parent organization

CHANGING HANDS HOME HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Timothy Fonville

Title

Owner

Phone

(704) 267-6324

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

CHG-PCS Salisbury

Locations

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1093079253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 554",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281450554",
            "telephone_number": "704-720-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446416",
            "telephone_number": "704-720-0668",
            "fax_number": "704-720-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHG-PCS SALISBURY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANGING HANDS HOME HEALTH SERVICES, INC.",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "FONVILLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-267-6324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602312",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Chappell, LCMHC
• Charlotte Eye Ear Nose & Throat Associates, PA
• Charlotte Eye Ear Nose & Throat Associates, PA
• Jauhtai Cheng, M.D.
• Lisbet Lopez Cherniavsky, DDS
• Children First of North Carolina, LLC
• Chijioke Chinenye Chinaka
• Mildred Ruth Chinaka, MSW, LCSW, MAC, CCJS
• Kayla Brooke Chipman, PT, DPT
• Cindy Chisenhall, MSW LCSW

• Home Health Agency in Salisbury, NC
• Providers in Salisbury, 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 Jul 2, 2012; 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.