Organization Active NPI

A Great Choice for Home Care, Inc.

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1235777988
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A GREAT CHOICE FOR HOME CARE, INC.
Practice address
1671 Wellons Dr
Fayetteville, NC 28304-5054
Phone
(919) 396-1222
Fax
(910) 339-0237
NPI assigned
Dec 12, 2019
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
A GREAT CHOICE FOR HOME CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Dinez BakerNPI 1407034754
Title
President
Phone
(919) 396-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1671 Wellons Dr
Fayetteville, NC 28304-5054

Mailing address

626 Mabel St
Youngstown, OH 44502-2226
Phone (919) 396-1222

Other practice location 1

626 Mabel St
Youngstown, OH 44502-2226
Phone (919) 396-1222

National Provider Directory

National Provider Directory
Tax ID family
A Great Choice for Home Care Inc2 organizations share this tax ID, including this one
Part of
A Great Choice for Home Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1671 Wellons Dr
Fayetteville, NC 28304
Phone (919) 396-1222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1235777988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MABEL ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022226",
            "telephone_number": "919-396-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 WELLONS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045054",
            "telephone_number": "919-396-1222",
            "fax_number": "910-339-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Mabel St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445022226",
            "country_code": "US",
            "telephone_number": "919-396-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A GREAT CHOICE FOR HOME CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A GREAT CHOICE FOR HOME CARE INC.",
        "enumeration_date": "2019-12-12",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DINEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-396-1222"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.