Active NPI
Xeon Enterprises Inc
- In Home Supportive Care Agency
- Mount Olive, NC
National Provider Identifier
1396824884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC-2545
- Legal business name
- XEON ENTERPRISES INC
- Doing business as
- Xeon Home Healthcare Services
- Practice address
- 100 W Pollock St
Ste 2
Mount Olive, NC 28365-2000 - Phone
- (919) 658-0500
- Fax
- (919) 658-5599
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Victor Boyd
- Title
- Director
- Phone
- (919) 658-0500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | HC-2545 | NC | |
| Nursing Care Agency | 251J00000X | HC2545 | NC | |
| In Home Supportive Care Agency | 253Z00000X | HC-2545 | NC | Primary |
Addresses
Primary practice location
100 W Pollock St
Ste 2
Mount Olive, NC 28365-2000
Mailing address
100 W. Pollock Street
Ste 2
Mt. Olive, NC 28365-2000
Phone (919) 658-0500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408027 | Medicaid | NC | |
| 6601087 | Medicaid | NC | |
| 6800467 | Medicaid | NC |
Other names 1
- Xeon Home Healthcare Services
National Provider Directory
National Provider DirectoryLocations
100 W Pollock St
Ste 2
Mount Olive, NC 28365
Phone (919) 658-0500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373932800000",
"number": "1396824884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W. POLLOCK STREET",
"address_2": "STE 2",
"city": "MT. OLIVE",
"state": "NC",
"postal_code": "283652000",
"telephone_number": "919-658-0500",
"fax_number": "919-658-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W POLLOCK ST",
"address_2": "STE 2",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283652000",
"telephone_number": "919-658-0500",
"fax_number": "919-658-5599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XEON ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2013-07-16",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "919-658-0500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NC",
"license": "HC-2545",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "HC2545",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC-2545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408027",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601087",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6800467",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Xeon Home Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Olive, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.