County of Nash

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO520 Issued in NC

Legal business name

COUNTY OF NASH

Practice address

200 W Washington St
Nashville, NC 27856-1264

Phone

(252) 462-2687

Fax

(252) 462-2689

NPI assigned

Oct 26, 2005

Organization subpart

Yes

Parent organization

COUNTY OF NASHAs reported in NPPES

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

Authorized official

Name

Mrs. Mary Logan Bulluck, RN

Title

Director of Nursing

Phone

(252) 462-2687

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Nash County Home Health Agency Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Nash County Health Department

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Nash

  • Land Ambulance
  • Rocky Mount, NC
  • NPI 1326137530

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Healthview Home Health & Hospice

  • Home Health Agency
  • Rocky Mount, NC
  • NPI 1811470289

  Sold to, 2018-09-01

  CMS change of ownership

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1285624619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561264",
            "telephone_number": "252-462-2687",
            "fax_number": "252-462-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561264",
            "telephone_number": "252-462-2687",
            "fax_number": "252-462-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF NASH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF NASH",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "BULLUCK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "252-462-2687",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HCO520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "00761",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407056",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408150",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nash County Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Lancaster Clements
• Jamie Sykes Clemmons, RN
• Carla Cooper, DPT, GCS
• Sandy Josephine Cortez
• County of Nash
• County of Nash
• Nicole Marie Czechowicz, DPT
• Dakks Legacy LLC
• Joanna Dauber, DO
• Matthew Stancil Davenport

• Home Health Agency in Nashville, NC
• Providers in Nashville, 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 Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.