Gate City of Burlington

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4039 Issued in NC

Legal business name

GATE CITY OF BURLINGTON

Practice address

2603 Holly Hill Street
Burlington, NC 27215

Phone

(336) 270-7061

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Jackie Chambers

Title

Owner

Phone

(336) 270-7061

Specialties & licenses 2

Addresses

Other names 1

• Visiting Angels Doing business as

Tax ID family

Gate City of Burlington2 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.

• Gate City of Burlington, Inc

  • Home Health Agency
  • Burlington, NC
  • NPI 1093069874
  NPD tax ID

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1104196807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 HOLLY HILL ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155156",
            "telephone_number": "336-270-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 HOLLY HILL STREET",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-270-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATE CITY OF BURLINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-270-7061"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4039",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "HC4039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garners House of Grace
• Anne-Caroline M Garnier Norman, MD
• Ashley Krzysik Garrison, RD
• Kenneth Winston Gasaway, PT
• Gaston Family Health Services, Inc.
• Gate City of Burlington, Inc
• Genesis Residential Care Center, LLC
• Genoa Healthcare LLC
• Gerald W. Hargis DDS PA
• Holly Marie Gerber, PLCSW

• In Home Supportive Care Agency in Burlington, NC
• Providers in Burlington, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.