My Pca Greenvilles Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MY PCA GREENVILLES HOME CARE LLC

Practice address

1206 Evans St
Greenville, NC 27834-4102

Phone

(252) 558-8683

Fax

(252) 862-2987

NPI assigned

Apr 25, 2020

Last updated

Apr 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Kimberly Holley

Title

Owner/Governing Body

Phone

(252) 558-8683

Specialties & licenses 1

Addresses

Other names 1

• MY PCA GREENVILLES HOME CARE LLC Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587772800000",
    "number": "1356961718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 EVANS ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344102",
            "telephone_number": "252-558-8683",
            "fax_number": "252-862-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 EVANS ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344102",
            "telephone_number": "252-558-8683",
            "fax_number": "252-862-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PCA GREENVILLES HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/GOVERNING BODY",
        "authorized_official_telephone_number": "252-558-8683",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mypcagreenville.com/",
            "affiliation": "N",
            "endpointDescription": "https://mypcagreenville.com/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1206 Evans St",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278344102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MY PCA GREENVILLES HOME CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Monique Mustafa, MD
• Mahvish Muzaffar, M.D.
• Brian C Muzyka, DMD
• Robert A Muzzarelli, MA, CCC-A
• Celine Mvula
• My Savior Family Care Home Inc (People of Purpose)
• My Savior Family Care Home, Inc. (People of Purpose)
• Alicia Marie Myers, M.D.
• Benjamin Clay Myers, PT, DPT
• Iskra Magick Myers, M.D.

• Home Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.