Care South Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2086 Issued in NC

Legal business name

CARE SOUTH INC

Practice address

3016 Twins PL
Boonville, NC 27011-8961

Phone

(336) 468-1710

Fax

(336) 468-8709

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dara Jester Puryear, REGISTERED NURSE

Title

Owner Director

Phone

(336) 468-1710

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275617284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 TWINS PL",
            "city": "BOONVILLE",
            "state": "NC",
            "postal_code": "270118961",
            "telephone_number": "336-468-1710",
            "fax_number": "336-468-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 TWINS PL",
            "city": "BOONVILLE",
            "state": "NC",
            "postal_code": "270118961",
            "telephone_number": "336-468-1710",
            "fax_number": "336-468-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PURYEAR",
        "authorized_official_first_name": "DARA",
        "authorized_official_middle_name": "JESTER",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "336-468-1710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600790",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409349",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Country Love Home Care LLC

• Home Health Agency in Boonville, NC
• Providers in Boonville, NC by specialty
• Home Health Agency in North Carolina

• 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.