Individual provider Active NPI

Susan Andrea Hino, RN

  • In Home Supportive Care Agency
  • Wingate, NC
National Provider Identifier
1346883105
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
3901 Highway 74 E Ste B
Wingate, NC 28174-6791
Phone
(704) 233-7433
Fax
(704) 324-0026
NPI assigned
Oct 24, 2019
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

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

Addresses

Primary practice location

3901 Highway 74 E Ste B
Wingate, NC 28174-6791

Mailing address

440 Glencroft Dr
Wingate, NC 28174-7801
Phone (704) 221-7354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Annasus Companion Care LLC In Home Supportive Care CurrentSince Oct 27, 2019 Accepting new patients

Locations

3901 Highway 74 E
Ste B
Wingate, NC 28174
Phone (704) 233-7433

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1346883105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 GLENCROFT DR",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281747801",
            "telephone_number": "704-221-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HIGHWAY 74 E STE B",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281746791",
            "telephone_number": "704-233-7433",
            "fax_number": "704-324-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINO",
        "first_name": "SUSAN",
        "middle_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wingate, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.