Organization Active NPI

Dedicated Home Care, Inc

  • Home Health Agency
  • Williamston, NC
National Provider Identifier
1104185255
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4391 Issued in NC
Legal business name
DEDICATED HOME CARE, INC
Practice address
1910 Big Mill Rd
Williamston, NC 27892-7533
Phone
(954) 479-9856
NPI assigned
May 10, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Johnathaun Lee
Title
Bus Manager
Phone
(954) 479-9856

National Provider Directory

National Provider Directory
Tax ID family
Dedicated Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4391 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1910 Big Mill Rd
Williamston, NC 27892-7533

Mailing address

4173 Hearthside Dr
104
Wilmington, NC 28412-8539
Phone (954) 479-9856

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2012.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1104185255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 HEARTHSIDE DR",
            "address_2": "104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284128539",
            "telephone_number": "954-479-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BIG MILL RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278927533",
            "telephone_number": "954-479-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHNATHAUN",
        "authorized_official_title_or_position": "BUS MANAGER",
        "authorized_official_telephone_number": "954-479-9856"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.