Active NPI
Homechoice Companions LLC
- Home Health Agency
- Raleigh, NC
National Provider Identifier
1255481925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3330
- Legal business name
- HOMECHOICE COMPANIONS LLC
- Practice address
- 2501 Blue Ridge Rd
Suite 150
Raleigh, NC 27607-6479 - Phone
- (919) 863-4167
- Fax
- (919) 863-4158
- NPI assigned
- Jan 12, 2007
- 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
- Mr. Jerry Stanley
- Title
- Administrator
- Phone
- (919) 863-4167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3330 | NC | Primary |
Addresses
Primary practice location
2501 Blue Ridge Rd
Suite 150
Raleigh, NC 27607-6479
Mailing address
2501 Blue Ridge Rd
Suite 150
Raleigh, NC 27607-6479
Phone (919) 863-4167
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418085 | Medicaid | NC | |
| 6601456 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Homechoice Companions LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Raleigh, NC
- NPI 1821115148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255481925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 BLUE RIDGE RD",
"address_2": "SUITE 150",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076479",
"telephone_number": "919-863-4167",
"fax_number": "919-863-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 BLUE RIDGE RD",
"address_2": "SUITE 150",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076479",
"telephone_number": "919-863-4167",
"fax_number": "919-863-4158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMECHOICE COMPANIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STANLEY",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-863-4167",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418085",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601456",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, 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.