Organization Active NPI

Home Life Dialysis

  • Home Health Agency
  • Arden, NC
National Provider Identifier
1114711181
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME LIFE DIALYSIS
Practice address
3652 Sweeten Creek Rd
Arden, NC 28704-2740
Phone
(828) 283-9484
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Stacey BowmanNPI 1588468656
Title
Owner
Phone
(828) 283-9484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3652 Sweeten Creek Rd
Arden, NC 28704-2740

Mailing address

3652 Sweeten Creek Rd
Arden, NC 28704-2740
Phone (828) 283-9484

Other names 1

  • Home Life Dialysis LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1114711181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 SWEETEN CREEK RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287042740",
            "telephone_number": "828-283-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 SWEETEN CREEK RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287042740",
            "telephone_number": "828-283-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LIFE DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-283-9484"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Life Dialysis LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.