Northern Home Care - Cana Division

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

N/A Issued in VA

Legal business name

NORTHERN HOME CARE - CANA DIVISION

Practice address

15397 Fancy Gap Hwy
Suite 2
Cana, VA 24317-3635

Phone

(276) 755-4766

Fax

(276) 755-4225

NPI assigned

Aug 23, 2005

Last updated

May 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony J. Zizzamia Jr., RN

Title

President/Executive Director

Phone

(910) 815-3122

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1417940669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 S 41ST ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502",
            "telephone_number": "910-815-3122",
            "fax_number": "910-815-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15397 FANCY GAP HWY",
            "address_2": "SUITE 2",
            "city": "CANA",
            "state": "VA",
            "postal_code": "243173635",
            "telephone_number": "276-755-4766",
            "fax_number": "276-755-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HOME CARE - CANA DIVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "ZIZZAMIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "442206",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004973259",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Bobbitt, M.S
• Cana Dental Center PC
• Carole Renee Everhart, DNP, FNP-C
• Jennifer Lee Graham, LPC
• Hill's General Store, Inc. (Hill's Shoes)
• Sherry Elaine Taylor, FNP
• Tri Area Community Health (Tri Area Community Health at Cana)
• Ewell R Vernon, ATC
• Kathy M Waldrep, MA

• Home Health Agency in Cana, VA
• Providers in Cana, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.