Active NPI
Heart 2 Home Senior Services, LLC
- In Home Supportive Care Agency
- Durham, NC
National Provider Identifier
1194595330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.