Organization Active NPI

Hospice of Harnett County, Inc.

  • Community Based Hospice Care Agency
  • Dunn, NC
National Provider Identifier
1104812064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOS0375 Issued in NC
Legal business name
HOSPICE OF HARNETT COUNTY, INC.
Practice address
111A N Ellis Ave
Dunn, NC 28334-3804
Phone
(910) 892-1213
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Grace E. Tart
Title
Administration
Phone
(910) 892-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOS0375 NC Primary

Addresses

Primary practice location

111A N Ellis Ave
Dunn, NC 28334-3804

Mailing address

111A N Ellis Ave
Dunn, NC 28334-3804
Phone (910) 892-1213

Other identifiers 2

IdentifierTypeStateIssuer
0020TOtherNCBLUE CROSS BLUE SHIELD
3401519MedicaidNC

National Provider Directory

National Provider Directory

Locations

111 N Ellis Ave
#A
Dunn, NC 28334
Phone (910) 892-1213

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104812064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111A N ELLIS AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343804",
            "telephone_number": "910-892-1213",
            "fax_number": "910-892-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111A N ELLIS AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343804",
            "telephone_number": "910-892-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF HARNETT COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TART",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "910-892-1213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOS0375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0020T",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401519",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.