A Primary Choice Inc
Organization Active NPI In Home Supportive Care Agency · Kenansville, NC
NPI 1255412656 · NPPES record last updated Sep 28, 2017
Key facts
- NPI
- 1255412656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- HC3430 (NC)
- Legal business name
- A PRIMARY CHOICE INC
- Practice address
- 302 North Main Street Suite 2
Kenansville, NC 28349-9044 - Phone
- (910) 865-3500
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Thad J Davis
- Title
- Ceo
- Phone
- (910) 865-3500
Corporate family (same tax ID) 42
National Provider Directory
- Tax ID family
- A Primary Choice Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HC3430 | NC | Yes |
Addresses
Primary practice location
302 North Main Street Suite 2
Kenansville, NC 28349-9044
Mailing address
PO Box 159
Saint Pauls, NC 28384-0159
Phone (910) 865-3500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601713 | Medicaid | NC |
Other providers in Kenansville, NC
- Alpha Omega Health
- Alternative Care Treatment Systems, Inc.
- Mohamed Ibrahim Ammar
- Chad Michael Anderson
- Appleaday Chronic Care Management, PLLC
All providers in Kenansville, NC · In Home Supportive Care Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.