Organization Active NPI

Intellichoice Staffing LLC

  • Nursing Care Agency
  • Winterville, NC
National Provider Identifier
1174758478
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INTELLICHOICE STAFFING LLC
Practice address
4735 Reedy Branch Rd Ste C
Winterville, NC 28590-9934
Phone
(252) 215-5656
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Mr. John D Seyler Jr.
Title
Vice President
Phone
(252) 215-5656

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Respite Care 385H00000X

Addresses

Primary practice location

4735 Reedy Branch Rd Ste C
Winterville, NC 28590-9934

Mailing address

4735 Reedy Branch Rd Ste C
Winterville, NC 28590-9934

Other identifiers 1

IdentifierTypeStateIssuer
HC4163MedicaidNC

National Provider Directory

National Provider Directory

Locations

4735 Reedy Branch Rd
Ste B
Winterville, NC 28590
Phone (252) 215-5656

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1174758478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 REEDY BRANCH RD STE C",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 REEDY BRANCH RD STE C",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909934",
            "telephone_number": "252-215-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLICHOICE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "SEYLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "252-215-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC4163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.