Wilmington NC Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC2392 Issued in NC

Legal business name

WILMINGTON NC HOMECARE LLC

Doing business as

Visiting Angels

Practice address

3205 Randall Pkwy
Ste 127
Wilmington, NC 28403-2568

Phone

(910) 777-5926

Fax

(910) 777-5962

NPI assigned

Jan 16, 2017

Last updated

May 9, 2023By 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

Mrs. Jennifer Anne Dorman

Title

Director/Owner/Partner

Phone

(910) 228-1866

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1174069132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 RANDALL PKWY",
            "address_2": "STE 127",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032568",
            "telephone_number": "910-777-5926",
            "fax_number": "910-777-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 RANDALL PKWY",
            "address_2": "STE 127",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032568",
            "telephone_number": "910-777-5926",
            "fax_number": "910-777-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON NC HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER/PARTNER",
        "authorized_official_telephone_number": "910-228-1866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.