Organization Active NPI

Deliverance Home Care, LLC

  • Nursing Care Agency
  • Greensboro, NC
National Provider Identifier
1255516290
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
3418364 Issued in NC
Legal business name
DELIVERANCE HOME CARE, LLC
Practice address
2804 Randleman Rd
Suite Q
Greensboro, NC 27406-5263
Phone
(336) 279-1144
Fax
(336) 378-1018
NPI assigned
Jan 9, 2008
Organization subpart
Yes
Parent organization
DELIVERANCE HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mrs. Deborah J Crosby
Title
Agency Director
Phone
(336) 279-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 3418364 NC Primary

Addresses

Primary practice location

2804 Randleman Rd
Suite Q
Greensboro, NC 27406-5263

Mailing address

2804 Randleman Rd
Suite Q
Greensboro, NC 27406-5263
Phone (336) 279-1144

Other identifiers 1

IdentifierTypeStateIssuer
3418364MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Deliverance Home Care LLC2 organizations share this tax ID, including this one
Part of
Deliverance Home Care LLC

Other organizations with this tax ID 1

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

Locations

2804 Randleman Rd
Ste Q
Greensboro, NC 27406
Phone (336) 279-1144

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1255516290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 RANDLEMAN RD",
            "address_2": "SUITE Q",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065263",
            "telephone_number": "336-279-1144",
            "fax_number": "336-378-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 RANDLEMAN RD",
            "address_2": "SUITE Q",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065263",
            "telephone_number": "336-279-1144",
            "fax_number": "336-378-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERANCE HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELIVERANCE HOME CARE, LLC",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "336-279-1144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "3418364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418364",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.