Organization Active NPI

Heartland Home Care Agency Inc.

  • Home Health Agency
  • Chadbourn, NC
National Provider Identifier
1104960178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC 1562 Issued in NC
Legal business name
HEARTLAND HOME CARE AGENCY INC.
Practice address
615 N Howard St
Chadbourn, NC 28431-1407
Phone
(910) 654-1362
Fax
(910) 654-4363
NPI assigned
Feb 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Anna Blanton
Title
Ceo
Phone
(910) 654-1362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC 1562 NC Primary

Addresses

Primary practice location

615 N Howard St
Chadbourn, NC 28431-1407

Mailing address

615 N Howard St
P O Box 494
Chadbourn, NC 28431-1407
Phone (910) 654-1362

Other identifiers 1

IdentifierTypeStateIssuer
6600509MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Heartland Home Care Agency 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.

Locations

615 N Howard St
Chadbourn, NC 28431
Phone (910) 654-1362

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104960178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N HOWARD ST",
            "address_2": "P O BOX 494",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311407",
            "telephone_number": "910-654-1362",
            "fax_number": "910-654-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N HOWARD ST",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311407",
            "telephone_number": "910-654-1362",
            "fax_number": "910-654-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-654-1362"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 1562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600509",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadbourn, 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.