Active NPI
Deliverance Home Care, LLC
- Nursing Care Agency
- Greensboro, NC
National Provider Identifier
1255516290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 3418364
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418364 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Deliverance Home Care LLC
- 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.
-
- Nursing Care Agency
- Greensboro, NC
- NPI 1811034044
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.
-
- Nursing Care Agency
- Greensboro, NC
- NPI 1811034044
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.