Organization Active NPI

Gervita Home Care

  • Home Health Agency
  • Greensboro, NC
National Provider Identifier
1093329864
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GERVITA HOME CARE
Doing business as
gervita home care
Practice address
3868 West Ave Apt E
Greensboro, NC 27407-4569
Phone
(984) 369-4476
NPI assigned
Aug 31, 2020
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Franck Romual Kombou Sile, NURSING STUDENTNPI 1801407168
Title
Owner
Phone
(984) 261-5621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3868 West Ave Apt E
Greensboro, NC 27407-4569

Mailing address

101 S Elm St Ste 23
Greensboro, NC 27401-2898
Phone (984) 261-5621

Other names 1

  • gervita home care Doing business as

National Provider Directory

National Provider Directory

Locations

101 S Elm St
Ste 23
Greensboro, NC 27401

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1093329864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S ELM ST STE 23",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012898",
            "telephone_number": "984-261-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3868 WEST AVE APT E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074569",
            "telephone_number": "984-369-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERVITA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "KOMBOU SILE",
        "authorized_official_first_name": "FRANCK ROMUAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-261-5621",
        "authorized_official_credential": "NURSING STUDENT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gervita home care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "gervita home 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 Jan 21, 2022; 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.