Mary B Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2820 Issued in NC

Legal business name

MARY B HOME CARE

Practice address

1107 N Fairview Rd
Rocky Mount, NC 27801-6291

Phone

(252) 972-4080

Fax

(252) 972-3380

NPI assigned

Mar 7, 2007

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kelvin Barnhill

Title

Ceo

Phone

(252) 972-4080

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1154451078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278020909",
            "telephone_number": "252-972-4080",
            "fax_number": "252-972-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N FAIRVIEW RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016291",
            "telephone_number": "252-972-4080",
            "fax_number": "252-972-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY B HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BARNHILL",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-972-4080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408364",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601202",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.