Organization Active NPI

Traditional Living Home Care

  • Home Health Agency
  • Wilkesboro, NC
National Provider Identifier
1386777308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2784 Issued in NC
Legal business name
TRADITIONAL LIVING HOME CARE
Practice address
101 W Main St
Wilkesboro, NC 28697-2422
Phone
(336) 667-4546
Fax
(336) 667-2621
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Casey Vencill
Title
Owner
Phone
(336) 667-4546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2784 NC Primary

Addresses

Primary practice location

101 W Main St
Wilkesboro, NC 28697-2422

Mailing address

101 W Main St
Wilkesboro, NC 28697-2422
Phone (336) 667-4546

National Provider Directory

National Provider Directory

Locations

101 W Main St
Wilkesboro, NC 28697
Phone (336) 667-4546

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386777308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972422",
            "telephone_number": "336-667-4546",
            "fax_number": "336-667-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972422",
            "telephone_number": "336-667-4546",
            "fax_number": "336-667-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL LIVING HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENCILL",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-667-4546"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.