Organization Active NPI

Fidelity First Healthcare Services, LLC

  • Home Health Agency
  • Wilmington, NC
National Provider Identifier
1093806135
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in NC
Legal business name
FIDELITY FIRST HEALTHCARE SERVICES, LLC
Practice address
3825 Market St
Suite 4
Wilmington, NC 28403-1453
Phone
(910) 343-1003
Fax
(910) 343-1007
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Mr. Darryl Brown
Title
Owner
Phone
(910) 279-3245

Specialties & licenses 1

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

Addresses

Primary practice location

3825 Market St
Suite 4
Wilmington, NC 28403-1453

Mailing address

3825 Market St
Suite 4
Wilmington, NC 28403-1453
Phone (910) 343-1003

National Provider Directory

National Provider Directory
Tax ID family
Fidelity First Health Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1093806135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 MARKET ST",
            "address_2": "SUITE 4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031453",
            "telephone_number": "910-343-1003",
            "fax_number": "910-343-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MARKET ST",
            "address_2": "SUITE 4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031453",
            "telephone_number": "910-343-1003",
            "fax_number": "910-343-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY FIRST HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-279-3245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.