Active NPI
Restoration Home Care Services
- Home Health Agency
- Conover, NC
National Provider Identifier
1346472123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RESTORATION HOME CARE SERVICES
- Doing business as
- Restoration Home Care Services
- Practice address
- 410 1St Ave S
Suite 3
Conover, NC 28613-2704 - Phone
- (704) 325-3814
- Fax
- (704) 325-3939
- NPI assigned
- Aug 12, 2009
- Last updated
- Oct 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Diane M Sherrill
- Title
- Owner/Supervisor
- Phone
- (704) 325-3814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NC | Primary |
Addresses
Primary practice location
410 1St Ave S
Suite 3
Conover, NC 28613-2704
Mailing address
410 1St Ave S
Suite 3
Conover, NC 28613-2704
Phone (704) 325-3814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC3970 | Medicaid | NC |
Other names 1
- Restoration Home Care Services
National Provider Directory
National Provider Directory- Tax ID family
- Restoration Home Care Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Conover, NC
- NPI 1003118670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635379200000",
"number": "1346472123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 1ST AVE S",
"address_2": "SUITE 3",
"city": "CONOVER",
"state": "NC",
"postal_code": "286132704",
"telephone_number": "704-325-3814",
"fax_number": "704-325-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 1ST AVE S",
"address_2": "SUITE 3",
"city": "CONOVER",
"state": "NC",
"postal_code": "286132704",
"telephone_number": "704-325-3814",
"fax_number": "704-325-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION HOME CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-12",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A",
"authorized_official_last_name": "SHERRILL",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/SUPERVISOR",
"authorized_official_telephone_number": "704-325-3814",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC3970",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Restoration Home Care Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Restoration Home Care Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.