County of Caldwell

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0487 Issued in NC

Legal business name

COUNTY OF CALDWELL

Practice address

2345 Morganton Blvd SW
Lenoir, NC 28645-4973

Phone

(828) 426-8401

Fax

(828) 426-8441

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Valerie Clark Kelly, CRNI

Title

Home Health Director

Phone

(828) 426-8438

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• CALDWELL CO. HOME HEALTH AGC Doing business as

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1386646552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454973",
            "telephone_number": "828-426-8401",
            "fax_number": "828-426-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454973",
            "telephone_number": "828-426-8401",
            "fax_number": "828-426-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CALDWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "HOME HEALTH DIRECTOR",
        "authorized_official_telephone_number": "828-426-8438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNI"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0487",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE BENEFIT",
            "identifier": "00713",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00713",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6009193",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "00713",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALDWELL CO. HOME HEALTH AGC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comserv, Inc.
• Comserv,Inc.
• David O Cook, MD
• Tonisha Michelle Corpening
• County of Caldwell
• County of Caldwell
• County of Caldwell
• Freda Edwina Clark Cowan, FNP-C
• John Wesley Cox III, DDS
• Deborah Jones Craig, PT

• Home Health Agency in Lenoir, NC
• Providers in Lenoir, 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 Jun 10, 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.