NPIMap

Organization Active NPI

Assured Care

  • Home Health Agency
  • Wilmington, NC
National Provider Identifier
1124162243
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3438 Issued in NC
Legal business name
ASSURED CARE
Practice address
5018 Randall Pkwy
Unit 3
Wilmington, NC 28403-2829
Phone
(910) 791-1100
Fax
(910) 791-3998
NPI assigned
Feb 20, 2007
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Audrey Lovella Smith
Title
Owner
Phone
(910) 791-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3438 NC Primary

Addresses

Primary practice location

5018 Randall Pkwy
Unit 3
Wilmington, NC 28403-2829

Mailing address

6977 Nexus CT
Suite 104
Fayetteville, NC 28304-2650
Phone (910) 223-0032

Other identifiers 1

IdentifierTypeStateIssuer
6601537MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Assured Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5018 Randall Pkwy
Unit 3
Wilmington, NC 28403
Phone (910) 791-1100

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1124162243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6977 NEXUS CT",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042650",
            "telephone_number": "910-223-0032",
            "fax_number": "910-223-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 RANDALL PKWY",
            "address_2": "UNIT 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032829",
            "telephone_number": "910-791-1100",
            "fax_number": "910-791-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "LOVELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-791-1100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601537",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.