Native Pride Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4468 Issued in NC

Legal business name

NATIVE PRIDE HOME CARE LLC

Practice address

619 S Main St
Laurinburg, NC 28352-4535

Phone

(800) 357-2713

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Nyla Phetvisay

Title

President

Phone

(800) 357-2713

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1225423916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36409",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274166409",
            "telephone_number": "800-357-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524535",
            "telephone_number": "800-357-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE PRIDE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "PHETVISAY",
        "authorized_official_first_name": "NYLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-357-2713"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC4468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Laurinburg, NC
• Providers in Laurinburg, 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 Mar 31, 2015; 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.