NPIMap

Organization Active NPI

St. Mary's Home Care Services, Inc.

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1184976839
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ST. MARY'S HOME CARE SERVICES, INC.
Practice address
1910 Sedwick Rd
Suite 500B
Durham, NC 27713-7807
Phone
(919) 363-1462
Fax
(919) 367-9474
NPI assigned
Oct 4, 2012
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Elton Joseph
Title
President
Phone
(919) 274-7282

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1910 Sedwick Rd
Suite 500B
Durham, NC 27713-7807

Mailing address

PO Box 16104
Greensboro, NC 27416-0104
Phone (414) 628-0439

Other identifiers 1

IdentifierTypeStateIssuer
6600781MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Home Care Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1910 Sedwick Rd
Ste 500B
Durham, NC 27713
Phone (919) 363-1462

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1184976839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274160104",
            "telephone_number": "414-628-0439",
            "fax_number": "336-285-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SEDWICK RD",
            "address_2": "SUITE 500B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137807",
            "telephone_number": "919-363-1462",
            "fax_number": "919-367-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ELTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-274-7282"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600781",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 2012; 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.