Organization Active NPI

McMillan Home Care

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1114069606
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
HC3281 Issued in NC
Legal business name
MCMILLAN HOME CARE
Practice address
120 Edens Ave
Lumberton, NC 28358-6514
Phone
(910) 735-0301
Fax
(910) 735-0334
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Julie McMillan
Title
Owner
Phone
(910) 735-0301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3281 NC
Community/Behavioral Health Agency 251S00000X HC3281 NC Primary

Addresses

Primary practice location

120 Edens Ave
Lumberton, NC 28358-6514

Mailing address

PO Box 3390
Lumberton, NC 28359-3390
Phone (910) 735-0301

Other identifiers 3

IdentifierTypeStateIssuer
8301282MedicaidNC
8301282BMedicaidNC
6601450MedicaidNC

National Provider Directory

National Provider Directory

Locations

120 Edens Ave
Lumberton, NC 28358
Phone (910) 735-0301

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1114069606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3390",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283593390",
            "telephone_number": "910-735-0301",
            "fax_number": "910-735-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EDENS AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283586514",
            "telephone_number": "910-735-0301",
            "fax_number": "910-735-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMILLAN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-735-0301"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3281",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "HC3281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301282",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301282B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601450",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.