Organization Active NPI

PBM Health Services Consulting

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1174853493
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PBM HEALTH SERVICES CONSULTING
Practice address
4819 Emperor Blvd
Ste 400
Durham, NC 27703-5420
Phone
(919) 313-4816
Fax
(919) 313-4819
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Ms. Bernadette V Cooper, RN, BSN, CCM, MBA
Title
Ceo
Phone
(919) 225-5037

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NC
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4819 Emperor Blvd
Ste 400
Durham, NC 27703-5420

Mailing address

4819 Emperor Blvd
Ste 400
Durham, NC 27703-5420
Phone (919) 313-4816

Other names 1

  • PBM HEALTHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

4819 Emperor Blvd
Ste 400
Durham, NC 27703
Phone (919) 617-1307

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1174853493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 EMPEROR BLVD",
            "address_2": "STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035420",
            "telephone_number": "919-313-4816",
            "fax_number": "919-313-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 EMPEROR BLVD",
            "address_2": "STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035420",
            "telephone_number": "919-313-4816",
            "fax_number": "919-313-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBM HEALTH SERVICES CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-225-5037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, CCM, MBA"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PBM HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 8, 2010; 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.