Organization Active NPI

Northcare Health Services

  • Home Health Agency
  • Greenville, NC
National Provider Identifier
1215060165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0072 Issued in NC
Legal business name
NORTHCARE HEALTH SERVICES
Practice address
640 Medical Dr Ste H
Greenville, NC 27834-7503
Phone
(252) 757-0029
Fax
(252) 757-0034
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Lynn Deimantas
Title
President
Phone
(252) 757-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0072 NC Primary

Addresses

Primary practice location

640 Medical Dr Ste H
Greenville, NC 27834-7503

Mailing address

PO Box 8424
Greenville, NC 27834-7503
Phone (252) 757-0029

Other identifiers 1

IdentifierTypeStateIssuer
7100117MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Northcare Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215060165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8424",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347503",
            "telephone_number": "252-757-0029",
            "fax_number": "252-757-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MEDICAL DR STE H",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347503",
            "telephone_number": "252-757-0029",
            "fax_number": "252-757-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEIMANTAS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-757-0029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100117",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.