Active NPI
Sampson County Department of Aging
- Home Health Agency
- Clinton, NC
National Provider Identifier
1235166505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC0784
- Legal business name
- SAMPSON COUNTY DEPARTMENT OF AGING
- Practice address
- 371 Rowan Rd
Clinton, NC 28328-4727 - Phone
- (910) 592-4653
- Fax
- (910) 590-2142
- NPI assigned
- Jun 26, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Lorie Bullard Sutton
- Title
- Director
- Phone
- (910) 592-4653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC0784 | NC | Primary |
Addresses
Primary practice location
371 Rowan Rd
Clinton, NC 28328-4727
Mailing address
371 Rowan Rd
Clinton, NC 28328-4727
Phone (910) 592-4653
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408426 | Medicaid | NC | |
| 6600038 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- County of Sampson
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sampson County Health Department
- State or Local Public Health Clinic/Center
- Clinton, NC
- NPI 1619036399
-
- Case Management Agency
- Clinton, NC
- NPI 1316012362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235166505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 ROWAN RD",
"city": "CLINTON",
"state": "NC",
"postal_code": "283284727",
"telephone_number": "910-592-4653",
"fax_number": "910-590-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 ROWAN RD",
"city": "CLINTON",
"state": "NC",
"postal_code": "283284727",
"telephone_number": "910-592-4653",
"fax_number": "910-590-2142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMPSON COUNTY DEPARTMENT OF AGING",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "LORIE",
"authorized_official_middle_name": "BULLARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-592-4653",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408426",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600038",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, 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.