NPIMap

Organization Active NPI

Healthaccess, Inc

Doing business as Vidant Home Health and Hospice

  • Community Based Hospice Care Agency
  • Kenansville, NC
National Provider Identifier
1265804298
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOS1302 Issued in NC
Legal business name
HEALTHACCESS, INC
Doing business as
Vidant Home Health and Hospice
Practice address
750 Kenansville Byp Ste B
Kenansville, NC 28349-9064
Phone
(910) 296-0819
Fax
(910) 296-0482
NPI assigned
Oct 29, 2015
Last updated
Oct 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Joan Wynn, PHD
Title
President
Phone
(252) 847-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOS1302 NC Primary

Addresses

Primary practice location

750 Kenansville Byp Ste B
Kenansville, NC 28349-9064

Mailing address

PO Box 8125
Greenville, NC 27835-8125
Phone (252) 847-2000

Other identifiers 1

IdentifierTypeStateIssuer
3401578MedicaidNC

Other names 1

  • VIDANT HOME HEALTH AND HOSPICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Carolina Health SRVS8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

750 Kenansville Byp
Ste B
Kenansville, NC 28349
Phone (910) 296-0819

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1265804298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358125",
            "telephone_number": "252-847-2000",
            "fax_number": "252-847-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KENANSVILLE BYP STE B",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499064",
            "telephone_number": "910-296-0819",
            "fax_number": "910-296-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHACCESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-2000",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOS1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401578",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDANT HOME HEALTH AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.