NPIMap

Organization Active NPI

Precious Care Home Care Agency

  • Supports Brokerage Agency
  • Stovall, NC
National Provider Identifier
1336285329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
HC3612 Issued in NC
Legal business name
PRECIOUS CARE HOME CARE AGENCY
Practice address
111 Elm St.
Stovall, NC 27582-0040
Phone
(919) 693-7017
Fax
(919) 693-1318
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Sarah Royster Brooks
Title
Administrator
Phone
(919) 693-7017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X HC3612 NC Primary

Addresses

Primary practice location

111 Elm St.
Stovall, NC 27582-0040

Mailing address

PO Box 40
Stovall, NC 27582-0040
Phone (919) 693-7017

Other identifiers 1

IdentifierTypeStateIssuer
6601614MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Precious Care Home Care Agency2 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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336285329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "STOVALL",
            "state": "NC",
            "postal_code": "275820040",
            "telephone_number": "919-693-7017",
            "fax_number": "919-693-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELM ST.",
            "city": "STOVALL",
            "state": "NC",
            "postal_code": "275820040",
            "telephone_number": "919-693-7017",
            "fax_number": "919-693-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS CARE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ROYSTER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-693-7017",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NC",
            "license": "HC3612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601614",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stovall, 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.