Micah'S Home Care

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

HC4279 Issued in NC

Legal business name

MICAH'S HOME CARE

Practice address

2444 Commerce Rd Ste 232
Jacksonville, NC 28546-7560

Phone

(704) 605-6406

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Paulette Washington

Title

Owner

Phone

(704) 605-6406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1104121862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GEORGETOWN RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404112",
            "telephone_number": "704-605-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 COMMERCE RD STE 232",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467560",
            "telephone_number": "704-605-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH'S HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-605-6406"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC4279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henriette Mercer, LCMHC-A, NCC
• Sarah Elizabeth Merulli, CRNP
• Carina Ana Marie Messura, PA-C
• Amanda Metze, LPA
• Justin Meyer, PA-C
• Michael S. Williams DDS, PA
• Michelina H Therrien LCSW PA
• Kassondra Ann Michno, DMD
• Mid Atlantic Neurology & Sleep Medicine, P.a.
• Mid Atlantic Neurology & Sleep Medicine, P.a.

• All providers in Jacksonville, NC
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.