His Mission Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HIS MISSION HOME CARE LLC

Practice address

800 Fisher Ferry St
Thomasville, NC 27360-5444

Phone

(336) 475-0100

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Corina M Johnson

Title

Owner

Phone

(336) 561-4677

Specialties & licenses 1

Addresses

Other names 2

• His Mission Home Care LLC Other name
• His Mission Home CareLLC Other name

Tax ID family

His Mission Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• His Mission Home Care LLC

  • Home Health Agency
  • Thomasville, NC
  • NPI 1508444910
  NPD tax ID

Locations

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1316513328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FISHER FERRY ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605444",
            "telephone_number": "336-475-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FISHER FERRY ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605444",
            "telephone_number": "336-475-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS MISSION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-561-4677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "His Mission Home Care LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "His Mission Home CareLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dawn-Alita Roberts Hernandez, M.D.
• Wayne Herrick, MD
• David S Herrmann, DC
• Samuel Hicks, EMT
• Melody Rich Hill
• His Mission Home Care LLC
• Robert O Hjorth
• Howard Gordon Hochman, MD
• Emmabele Hodges
• Christine M Hohstadt, CCC-SLP

• Home Health Agency in Thomasville, NC
• Providers in Thomasville, 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 Jun 1, 2021; 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.