Organization Active NPI

Community Home Care of Robeson County, LLC

  • Community Based Hospice Care Agency
  • Whiteville, NC
National Provider Identifier
1316219280
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HC4028 Issued in NC
Legal business name
COMMUNITY HOME CARE OF ROBESON COUNTY, LLC
Practice address
120 Premiere PLZ
Whiteville, NC 28472-2522
Phone
(910) 918-0775
Fax
(252) 937-2647
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Jessica Kleberg
Title
VP of Legal Affairs
Phone
(704) 664-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HC4028 NC Primary

Addresses

Primary practice location

120 Premiere PLZ
Whiteville, NC 28472-2522

Mailing address

655 Brawley School Rd
Suite 200
Mooresville, NC 28117-9125
Phone (704) 664-2876

Other names 1

  • Community Home Care and Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Home Care and Hospice5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

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

Locations

120 Premiere Plz
Whiteville, NC 28472
Phone (910) 918-0775

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1316219280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD",
            "address_2": "SUITE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179125",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PREMIERE PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722522",
            "telephone_number": "910-918-0775",
            "fax_number": "252-937-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME CARE OF ROBESON COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "KLEBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP OF LEGAL AFFAIRS",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC4028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.