Orchard Home Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4945 Issued in NC

Legal business name

ORCHARD HOME CARE AGENCY

Practice address

6412 Robertson Pond Rd
Wendell, NC 27591-9597

Phone

(919) 805-8447

NPI assigned

May 7, 2018

Last updated

May 7, 2018By 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

Beronica Brooks, RN

Title

Agency Director

Phone

(919) 805-8447

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1164911996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 ROBERTSON POND RD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919597",
            "telephone_number": "919-805-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 ROBERTSON POND RD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919597",
            "telephone_number": "919-805-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "BERONICA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-805-8447",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NC",
            "license": "HC4945",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC4945",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.