NPIMap

Organization Active NPI

Homebridge Health Care

  • Home Infusion Agency
  • Maxton, NC
National Provider Identifier
1366586349
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
HOMEBRIDGE HEALTH CARE
Practice address
605 MLK Jr Rd
Maxton, NC 28364-8958
Phone
(910) 844-7049
Fax
(910) 844-2018
NPI assigned
Feb 16, 2007
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HOMEBRIDGE HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Shannon Burns
Title
Authorized Official
Phone
(910) 827-9543

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary
Nursing Care Agency 251J00000X NC
Technician 374700000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

605 MLK Jr Rd
Maxton, NC 28364-8958

Mailing address

11279 Deep Branch Rd
Maxton, NC 28364-8958
Phone (910) 844-7049

Other identifiers 1

IdentifierTypeStateIssuer
3409580OtherNCCAP SERVICES

Other names 1

  • robeson Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Unity Home Care7 organizations share this tax ID, including this one
Part of
Homebridge Health Care

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1366586349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11279 DEEP BRANCH RD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283648958",
            "telephone_number": "910-844-7049",
            "fax_number": "910-844-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MLK JR RD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283648958",
            "telephone_number": "910-844-7049",
            "fax_number": "910-844-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBRIDGE HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMEBRIDGE HEALTH CARE",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "910-827-9543"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP SERVICES",
            "identifier": "3409580",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "robeson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maxton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.