NPIMap

Angels of Mercy Home Health Care Inc

Organization Active NPI Home Health Agency · Tarboro, NC

NPI 1295876464 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295876464
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HC2317 (NC)
Legal business name
ANGELS OF MERCY HOME HEALTH CARE INC
Practice address
217 N Main St
107
Tarboro, NC 27886-5054
Phone
(252) 823-6200
NPI assigned
Feb 9, 2007
Organization subpart
No

Authorized official

Name
Manika Hazel Parker
Title
Administrator
Phone
(252) 823-6200

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Angels of Mercy Home Health Care Inc (5 organizations share this tax ID)

Locations

217 N Main St
Ste 107
Tarboro, NC 27886
Phone (252) 823-6200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2317 NC Yes

Addresses

Primary practice location

217 N Main St
107
Tarboro, NC 27886-5054

Mailing address

217 N Main St
107
Tarboro, NC 27886-5054
Phone (252) 823-6200

Other identifiers

IdentifierTypeStateIssuer
6601096MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295876464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "address_2": "107",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865054",
            "telephone_number": "252-823-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "address_2": "107",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865054",
            "telephone_number": "252-823-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF MERCY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MANIKA",
        "authorized_official_middle_name": "HAZEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-823-6200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

All providers in Tarboro, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.