Active NPI
Classic Care Home Care
- Home Health Agency
- West End, NC
National Provider Identifier
1275604134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3217
- Legal business name
- CLASSIC CARE HOME CARE
- Practice address
- 108 Arrowleaf LN
West End, NC 27376-9795 - Phone
- (910) 235-9009
- Fax
- (910) 235-9008
- NPI assigned
- Nov 13, 2006
- Last updated
- May 11, 2009
- Organization subpart
- Yes
- Parent organization
- CLASSIC CARE HOME CARE AGENCY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Merva A McKinney, RN
- Title
- Agency Director
- Phone
- (910) 235-9009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3217 | NC | Primary |
Addresses
Primary practice location
108 Arrowleaf LN
West End, NC 27376-9795
Mailing address
PO Box 651
108 Arrowleaf Lane
West End, NC 27376-0651
Phone (910) 235-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601419 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Classic Care Cap Services
- Part of
- Classic Care Cap Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Southern Pines, NC
- NPI 1982838595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1275604134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 651",
"address_2": "108 ARROWLEAF LANE",
"city": "WEST END",
"state": "NC",
"postal_code": "273760651",
"telephone_number": "910-235-9009",
"fax_number": "910-235-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ARROWLEAF LN",
"city": "WEST END",
"state": "NC",
"postal_code": "273769795",
"telephone_number": "910-235-9009",
"fax_number": "910-235-9008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLASSIC CARE HOME CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLASSIC CARE HOME CARE AGENCY, LLC",
"enumeration_date": "2006-11-13",
"last_updated": "2009-05-11",
"status": "A",
"authorized_official_last_name": "MCKINNEY",
"authorized_official_first_name": "MERVA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AGENCY DIRECTOR",
"authorized_official_telephone_number": "910-235-9009",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601419",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in West End, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.