Organization Active NPI

Xeon Enterprises Inc

  • In Home Supportive Care Agency
  • Mount Olive, NC
National Provider Identifier
1396824884
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC-2545 Issued in NC
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

Updated by the provider on Jul 16, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3408027MedicaidNC
6601087MedicaidNC
6800467MedicaidNC

Other names 1

  • Xeon Home Healthcare Services Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.