Active NPI
Team Nurse of North Carolina, Inc.
- In Home Supportive Care Agency
- North Wilkesboro, NC
National Provider Identifier
1295898468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC2491
- Legal business name
- TEAM NURSE OF NORTH CAROLINA, INC.
- Practice address
- 37 Boone TRL
North Wilkesboro, NC 28659-3512 - Phone
- (336) 667-7881
- Fax
- (336) 667-7865
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy Glynn
- Title
- VP
- Phone
- (434) 575-5200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC-2491 | NC | |
| In Home Supportive Care Agency | 253Z00000X | HC2491 | NC | Primary |
Addresses
Primary practice location
37 Boone TRL
North Wilkesboro, NC 28659-3512
Mailing address
P. O. Box 735
South Boston, VA 24592-0735
Phone (434) 575-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409670 | Medicaid | NC | |
| HC-2491 | Other | NC | STATE LICENSURE |
Other names 1
- Team Nurse - North Wilkesboro
National Provider Directory
National Provider Directory- Tax ID family
- Team Nurse - North Wilkesboro
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- North Wilkesboro, NC
- NPI 1053482919
Locations
37 Boone Trl
North Wilkesboro, NC 28659
Phone (336) 667-7881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492732800000",
"number": "1295898468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 735",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245920735",
"telephone_number": "434-575-5200",
"fax_number": "434-575-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BOONE TRL",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593512",
"telephone_number": "336-667-7881",
"fax_number": "336-667-7865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAM NURSE OF NORTH CAROLINA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2017-04-21",
"status": "A",
"authorized_official_last_name": "GLYNN",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "434-575-5200"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC-2491",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC2491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409670",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "HC-2491",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Team Nurse - North Wilkesboro",
"code": "5",
"type": "Other Name"
}
]
}Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.