NPIMap

Organization Active NPI

Martin-Tyrrell-Washington District Health Department

  • Home Health Agency
  • Columbia, NC
National Provider Identifier
1124191952
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Practice address
408 Bridge Street
Columbia, NC 27925-9757
Phone
(252) 793-3023
NPI assigned
Nov 17, 2006
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
Katherine Davis
Title
Home Care Director
Phone
(252) 791-3152

Specialties & licenses 1

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

Addresses

Primary practice location

408 Bridge Street
Columbia, NC 27925-9757

Mailing address

198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone (252) 793-3023

Other identifiers 1

IdentifierTypeStateIssuer
6600325MedicaidNC

Other names 1

  • Roanoke Home Care & Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin-Tyrrell-Washington13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124191952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-793-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BRIDGE STREET",
            "city": "COLUMBIA",
            "state": "NC",
            "postal_code": "279259757",
            "telephone_number": "252-793-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "252-791-3152"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600325",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roanoke Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, 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.