NPIMap

Organization Active NPI

Qualicare of Graham LLC

  • Personal Care Attendant
  • Robbinsville, NC
National Provider Identifier
1356679880
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
HC2553 Issued in NC
Legal business name
QUALICARE OF GRAHAM LLC
Practice address
750 Tallulah Rd
Robbinsville, NC 28771-9461
Phone
(828) 479-4790
NPI assigned
Nov 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Ms. Polly Ann Buchanan
Title
Director/Owner
Phone
(828) 479-4790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X HC2553 NC Primary

Addresses

Primary practice location

750 Tallulah Rd
Robbinsville, NC 28771-9461

Mailing address

PO Box 789
Robbinsville, NC 28771-0789
Phone (828) 479-4790

Other identifiers 1

IdentifierTypeStateIssuer
3408038MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Qualicare of Graham LLC2 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": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1356679880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287710789",
            "telephone_number": "828-479-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287719461",
            "telephone_number": "828-479-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE OF GRAHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "828-479-4790",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408038",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.