Organization Active NPI

Nuelife Health Systems

  • Home Health Agency
  • Wilmington, NC
National Provider Identifier
1285974006
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2965 Issued in NC
Legal business name
NUELIFE HEALTH SYSTEMS
Practice address
708 S 13TH St
Wilmington, NC 28401-5413
Phone
(910) 230-0555
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Johnathaun Lee
Title
Owner
Phone
(954) 479-9856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2965 NC Primary

Addresses

Primary practice location

708 S 13TH St
Wilmington, NC 28401-5413

Mailing address

4173 Hearthside Drive
104
Wilmington, NC 25841-8335

Other identifiers 1

IdentifierTypeStateIssuer
HC2965OtherNCSTATE NC DHHS

National Provider Directory

National Provider Directory
Tax ID family
Nuelife Health Systems3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1285974006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 HEARTHSIDE DRIVE",
            "address_2": "104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "258418335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S 13TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015413",
            "telephone_number": "910-230-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUELIFE HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHNATHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-479-9856"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NC DHHS",
            "identifier": "HC2965",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.