Organization Active NPI

Homecare Nursing, Inc.

Doing business as Vance county Home Health Agency

  • Home Health Agency
  • Henderson, NC
National Provider Identifier
1255495156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2288 Issued in NC
Legal business name
HOMECARE NURSING, INC.
Doing business as
Vance county Home Health Agency
Practice address
943 W Andrews Ave
Suite G
Henderson, NC 27536-2516
Phone
(252) 438-5309
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Isaac Nwakpuda, RN
Title
Director
Phone
(252) 438-5309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2288 NC Primary

Addresses

Primary practice location

943 W Andrews Ave
Suite G
Henderson, NC 27536-2516

Mailing address

943 W Andrews Ave
Suite G
Henderson, NC 27536-2516
Phone (252) 438-5309

Other identifiers 2

IdentifierTypeStateIssuer
3409503MedicaidNC
6600901MedicaidNC

Other names 1

  • Vance county Home Health Agency Doing business as

National Provider Directory

National Provider Directory

Locations

943 W Andrews Ave
Ste G
Henderson, NC 27536
Phone (252) 438-5309

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255495156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 W ANDREWS AVE",
            "address_2": "SUITE G",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362516",
            "telephone_number": "252-438-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W ANDREWS AVE",
            "address_2": "SUITE G",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362516",
            "telephone_number": "252-438-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NWAKPUDA",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-438-5309",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409503",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600901",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vance county Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, 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.

Verify at the official NPI Registry.