NPIMap

Organization Active NPI

Healthaccess, Inc

  • Home Health Agency
  • Kenansville, NC
National Provider Identifier
1134599137
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0053 Issued in NC
Legal business name
HEALTHACCESS, INC
Practice address
750 Kenansville Byp
Kenansville, NC 28349-9064
Phone
(910) 296-0819
Fax
(910) 296-0482
NPI assigned
Oct 2, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Joan Wynn, PHD
Title
President
Phone
(252) 847-2000

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 7

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

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vidant Home Health and HospiceCCN 347063
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Apr 19, 1974
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Home health agency certification: CCN 347063

Medicare enrollment files
Legal name
HEALTHACCESS, INC.
Doing business as
ECU HEALTH HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 19, 1974
Last certification
Sep 16, 2016
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Aug 18, 1983 in NC
Enrollment address
750 South Kenansville Bypass
Kenansville, NC 28349-0887

All disclosed owners & managing parties 5

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scottie Simmons Individual W-2 Managing EmployeeManager Sep 9, 2012
David S Hughes Individual Corporate OfficerSecretary/Trasurer Feb 6, 2012
University Health Systems of Eastern Carolina, Inc. Organization, Greenville, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 18, 1983 100%
Daniel Drake Individual Corporate OfficerPresident Jul 8, 2018
Michael R Waldrum Individual Corporate DirectorDir. Health Access, Inc Ceo Vida Jun 1, 2015

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20151209001771 NC Part a Provider - Home Health Agency 5395658322 Practice locations: Kenansville, NC

National Provider Directory

National Provider Directory
Tax ID family
East Carolina Health SRVS (8 organizations share this tax ID)

Locations

5 Doctors Park
Greenville, NC 27834
Phone (252) 847-2000

2704B N Main St
Tarboro, NC 27886
Phone (252) 641-1002

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0053 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

750 Kenansville Byp
Kenansville, NC 28349-9064

Mailing address

PO Box 8125
Greenville, NC 27835-8125
Phone (252) 847-2000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3417063MedicaidNC

Other names 1

NPPES NPI Registry
  • VIDANT HOME HEALTH AND HOSPICE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2015.

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1134599137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358125",
            "telephone_number": "252-847-2000",
            "fax_number": "252-847-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KENANSVILLE BYP",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499064",
            "telephone_number": "910-296-0819",
            "fax_number": "910-296-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHACCESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-2000",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417063",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDANT HOME HEALTH AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

Verify at the official NPI Registry.