Organization Active NPI

Home Health Care Center

  • Durable Medical Equipment & Medical Supplies
  • Carolina Beach, NC
National Provider Identifier
1336282128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME HEALTH CARE CENTER
Practice address
1204 N Lake Park Blvd # G
Carolina Beach, NC 28428-4163
Phone
(910) 262-0566
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gale R Fincannon
Title
President
Phone
(910) 262-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1204 N Lake Park Blvd # G
Carolina Beach, NC 28428-4163

Mailing address

330 Silva Terra Dr
Wilmington, NC 28412-2325
Phone (910) 262-0566

Other identifiers 1

IdentifierTypeStateIssuer
7702247MedicaidNC

National Provider Directory

National Provider Directory

Locations

1204 Lake Park Blvd N
#G
Carolina Beach, NC 28428
Phone (910) 262-0566

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336282128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SILVA TERRA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122325",
            "telephone_number": "910-262-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N LAKE PARK BLVD # G",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284284163",
            "telephone_number": "910-262-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FINCANNON",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-262-0566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702247",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.