Active NPI
Catawba Valley Medical Services
- In Home Supportive Care Agency
- Morganton, NC
National Provider Identifier
1124242839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC1694
- Legal business name
- CATAWBA VALLEY MEDICAL SERVICES
- Practice address
- 409B South Sterling Street
Morganton, NC 28655 - Phone
- (828) 437-8808
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Patrick Clark
- Title
- Owner, Director
- Phone
- (828) 437-8808
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC1694 | NC | |
| In Home Supportive Care Agency | 253Z00000X | HC1694 | NC | Primary |
Addresses
Primary practice location
409B South Sterling Street
Morganton, NC 28655
Mailing address
PO Box 2756
Morganton, NC 28680-2756
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600600 | Medicaid | NY | |
| 3409036 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Catawba Valley Medical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Morganton, NC
- NPI 1578069779
Locations
409 S Sterling St
#B
Morganton, NC 28655
Phone (828) 437-8808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528848000000",
"number": "1124242839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2756",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286802756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409B SOUTH STERLING STREET",
"city": "MORGANTON",
"state": "NC",
"postal_code": "28655",
"telephone_number": "828-437-8808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATAWBA VALLEY MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2018-06-13",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER, DIRECTOR",
"authorized_official_telephone_number": "828-437-8808"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC1694",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC1694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600600",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409036",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
- Andrew Carter
- Jerry Carter, DMD
- Catawba River Behavioral & Treatment Associates, Inc.
- Catawba River Behavioran & Treatment Associates Inc.
- Catawba River Behavoiral & Treatment Associates, Inc.
- Catawba Valley Medical Servies
- Catawba Valley Therapy Services
- Laura Caudle, MA, CCC-SLP
- Prathyusha Chalasani, MD
- Richard Miles Chapin, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.