Organization Active NPI

Personal Best Supportive Help Services Inc

  • Health Maintenance Organization
  • Westfield, NC
National Provider Identifier
1144405259
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PERSONAL BEST SUPPORTIVE HELP SERVICES INC
Practice address
1195 Dearmin Rd
Westfield, NC 27053-7104
Phone
(336) 351-4209
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mrs. Terri Kim Young, BA;QP
Title
Director, Owner
Phone
(336) 351-4209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1195 Dearmin Rd
Westfield, NC 27053-7104

Mailing address

1195 Dearmin Rd
Westfield, NC 27053-7104
Phone (336) 351-4209

Other identifiers 2

IdentifierTypeStateIssuer
8302140GMedicaidNC
83202140BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Personal Best Supportive Help Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1144405259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 DEARMIN RD",
            "city": "WESTFIELD",
            "state": "NC",
            "postal_code": "270537104",
            "telephone_number": "336-351-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 DEARMIN RD",
            "city": "WESTFIELD",
            "state": "NC",
            "postal_code": "270537104",
            "telephone_number": "336-351-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL BEST SUPPORTIVE HELP SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR, OWNER",
        "authorized_official_telephone_number": "336-351-4209",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA;QP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302140G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83202140B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.