Organization Active NPI

Heart 2 Home Senior Services, LLC

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1194595330
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART 2 HOME SENIOR SERVICES, LLC
Practice address
3511 Shannon Rd Ste 300
Durham, NC 27707-6330
Phone
(336) 264-5767
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Stacie Lorita Johnson
Title
Owner/Manager
Phone
(336) 264-5767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3511 Shannon Rd Ste 300
Durham, NC 27707-6330

Mailing address

102 Village Dr Apt 236
Mebane, NC 27302-9867
Phone (336) 264-5767

National Provider Directory

National Provider Directory

Locations

3511 Shannon Rd
Ste 300
Durham, NC 27707
Phone (336) 264-5767

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1194595330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VILLAGE DR APT 236",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029867",
            "telephone_number": "336-264-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 SHANNON RD STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076330",
            "telephone_number": "336-264-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART 2 HOME SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "LORITA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "336-264-5767"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 2024; 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.