NPIMap

Organization Active NPI

Carolina Blue Care Services

  • In Home Supportive Care Agency
  • Raeford, NC
National Provider Identifier
1124743794
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAROLINA BLUE CARE SERVICES
Practice address
445 Collinwood Dr
Raeford, NC 28376-7242
Phone
(910) 670-8987
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Ms. Carla Segovia
Title
Owner
Phone
(910) 670-8987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

445 Collinwood Dr
Raeford, NC 28376-7242

Mailing address

445 Collinwood Dr
Raeford, NC 28376-7242
Phone (910) 670-8987

Other names 1

  • HomeWell Care Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1124743794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 COLLINWOOD DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767242",
            "telephone_number": "910-670-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 COLLINWOOD DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767242",
            "telephone_number": "910-670-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BLUE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "SEGOVIA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-670-8987",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HomeWell Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.