Individual provider Active NPI

Stephanie Camp

  • In Home Supportive Care Agency
  • Cherryville, NC
National Provider Identifier
1346957925
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC6691 Issued in NC
Practice address
116 E Main St Ste 103
Cherryville, NC 28021-3461
Phone
(980) 925-2248
NPI assigned
Nov 2, 2022
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 HC6691 NC Primary

Addresses

Primary practice location

116 E Main St Ste 103
Cherryville, NC 28021-3461

Mailing address

116 E Main St Ste 103
Cherryville, NC 28021-3461
Phone (980) 925-2248

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

State licenses

LicenseStateTypeSpecialty
HC6691NCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy at Home LLC In Home Supportive Care CurrentSince Jan 8, 2023 Accepting new patients
A Step Above Home Care Services LLC In Home Supportive Care CurrentSince Nov 6, 2022 Accepting new patients

Locations

116 E Main St
Ste 103
Cherryville, NC 28021
Phone (980) 925-2248

Organizations & group practices 2

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1346957925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E MAIN ST STE 103",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280213461",
            "telephone_number": "980-925-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E MAIN ST STE 103",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280213461",
            "telephone_number": "980-925-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC6691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherryville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.