Organization Active NPI

Powell Home Health Care Inc

  • Personal Care Attendant
  • Rocky Mount, NC
National Provider Identifier
1255409900
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
POWELL HOME HEALTH CARE INC
Practice address
1701 Sunset Ave
Suite 201
Rocky Mount, NC 27804-4343
Phone
(252) 442-5122
Fax
(252) 442-6980
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Miss Vickie Ann Powell
Title
Owner
Phone
(252) 442-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1701 Sunset Ave
Suite 201
Rocky Mount, NC 27804-4343

Mailing address

1701 Sunset Ave
Suite 201
Rocky Mount, NC 27804-4343
Phone (252) 442-5122

Other identifiers 2

IdentifierTypeStateIssuer
3409601MedicaidNC
6600992MedicaidNC

National Provider Directory

National Provider Directory

Locations

1701 Sunset Ave
Ste 201
Rocky Mount, NC 27804
Phone (252) 442-5122

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1255409900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUNSET AVE",
            "address_2": "SUITE 201",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044343",
            "telephone_number": "252-442-5122",
            "fax_number": "252-442-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNSET AVE",
            "address_2": "SUITE 201",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044343",
            "telephone_number": "252-442-5122",
            "fax_number": "252-442-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-442-5122",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409601",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

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