Ageless Heart Healthcare, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC2965 Issued in NC

Legal business name

AGELESS HEART HEALTHCARE, INC

Practice address

708 S 13TH St
Erwin, NC 28339-2634

Phone

(910) 292-0173

Fax

(910) 292-0174

NPI assigned

Aug 13, 2010

Last updated

Jun 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnathaun Lee

Title

President

Phone

(910) 230-0555

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1225343395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S 13TH ST",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392634",
            "telephone_number": "910-230-0555",
            "fax_number": "910-230-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S 13TH ST",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392634",
            "telephone_number": "910-292-0173",
            "fax_number": "910-292-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS HEART HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHNATHAUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-230-0555"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC2965",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• After 3 Matters
• Roxana Mihaela Airinei-Teel, PT
• Dahlia Alabdullah, DDS
• Rebecca Arnold, PHARMD
• Atlantic Coast Physical Therapy & Wellness Center, Inc
• Irina Balan, MD

• In Home Supportive Care Agency in Erwin, NC
• Providers in Erwin, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.