Organization Active NPI

War Memorial Home Healthcare Agency LLC

  • Respite Care
  • Durham, NC
National Provider Identifier
1114561800
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
WAR MEMORIAL HOME HEALTHCARE AGENCY LLC
Practice address
12336 Tetons CT
Durham, NC 27703-8903
Phone
(919) 908-1357
Fax
(919) 869-2785
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Dr. Perry Elroy Tankard Sr.
Title
Director
Phone
(919) 908-1357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

12336 Tetons CT
Durham, NC 27703-8903

Mailing address

6409 Fayetteville Rd Ste 120
Durham, NC 27713-6297
Phone (919) 908-1357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1114561800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD STE 120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136297",
            "telephone_number": "919-908-1357",
            "fax_number": "919-869-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12336 TETONS CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038903",
            "telephone_number": "919-908-1357",
            "fax_number": "919-869-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAR MEMORIAL HOME HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "TANKARD",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "ELROY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-908-1357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.