Organization Active NPI

At Home Healers NC LLC

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1316765472
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AT HOME HEALERS NC LLC
Practice address
4801 Clarkson Rd
Greensboro, NC 27410-1836
Phone
(559) 375-5108
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Itedal HusseinNPI 1881463891
Title
Owner
Phone
(559) 375-5108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4801 Clarkson Rd
Greensboro, NC 27410-1836

Mailing address

4801 Clarkson Rd
Greensboro, NC 27410-1836
Phone (559) 375-5108

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1316765472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 CLARKSON RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274101836",
            "telephone_number": "559-375-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 CLARKSON RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274101836",
            "telephone_number": "559-375-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME HEALERS NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ITEDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-375-5108"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.