NPIMap

Organization Active NPI

Asd-PCS-Durham

  • Home Health Agency
  • Durham, NC
National Provider Identifier
1174795165
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1308 Issued in NC
Legal business name
ASD-PCS-DURHAM
Practice address
3600 N Duke St
Suite 103
Durham, NC 27704-1709
Phone
(919) 471-1800
Fax
(919) 471-1877
NPI assigned
Mar 31, 2008
Organization subpart
Yes
Parent organization
ANGEL STAR OF DURHAM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mrs. Veronica K. McLendon
Title
Vice President
Phone
(704) 549-1659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1308 NC Primary

Addresses

Primary practice location

3600 N Duke St
Suite 103
Durham, NC 27704-1709

Mailing address

8430 University Exec Park Dr
Suite 655
Charlotte, NC 28262-1350
Phone (704) 549-1659

Other identifiers 1

IdentifierTypeStateIssuer
6600379MedicaidNC

Other names 1

  • Angel Star Other name

National Provider Directory

National Provider Directory
Tax ID family
Asd-PCS-Durham7 organizations share this tax ID, including this one
Part of
Asd-PCS-Durham

Other organizations with this tax ID 6

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1174795165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 655",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621350",
            "telephone_number": "704-549-1659",
            "fax_number": "704-549-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N DUKE ST",
            "address_2": "SUITE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041709",
            "telephone_number": "919-471-1800",
            "fax_number": "919-471-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASD-PCS-DURHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGEL STAR OF DURHAM, INC.",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-549-1659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600379",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Star",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.