NPIMap

Organization Active NPI

Interim Healthcare of the Eastern Carolinas, Inc

  • Home Infusion Agency
  • Fayetteville, NC
National Provider Identifier
1124216189
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
HC3459 Issued in NC
Legal business name
INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC
Practice address
2413 Robeson St Ste 7
Fayetteville, NC 28305-5500
Phone
(910) 483-6144
Fax
(910) 483-6049
NPI assigned
Oct 4, 2007
Last updated
Jul 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Authorized official

Name
Mrs. Donna L Byrd
Title
President - Owner
Phone
(910) 642-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X HC3459 NC Primary

Addresses

Primary practice location

2413 Robeson St Ste 7
Fayetteville, NC 28305-5500

Mailing address

PO Box 2249
Whiteville, NC 28472-7249
Phone (910) 642-2106

Other identifiers 1

IdentifierTypeStateIssuer
6800491MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of the Eastern Carolinas Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1124216189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2249",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284727249",
            "telephone_number": "910-642-2106",
            "fax_number": "910-642-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 ROBESON ST STE 7",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055500",
            "telephone_number": "910-483-6144",
            "fax_number": "910-483-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "910-642-2106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NC",
            "license": "HC3459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800491",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.