NPIMap

Organization Active NPI

Homecare Management Corporation

  • Developmentally Disabled Services Day Training Agency
  • Tarboro, NC
National Provider Identifier
1447311766
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HOMECARE MANAGEMENT CORPORATION
Practice address
1710 W Howard Ave
Tarboro, NC 27886-3409
Phone
(252) 641-0404
Fax
(252) 641-4001
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Laurie A McDaniel
Title
Cfo
Phone
(828) 754-3665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1710 W Howard Ave
Tarboro, NC 27886-3409

Mailing address

315 Wilkesboro Blvd NE
Suite 2a
Lenoir, NC 28645-4498
Phone (828) 754-3665

Other identifiers 2

IdentifierTypeStateIssuer
8300108MedicaidNC
8300108KMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Homecare Management Corporation30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1447311766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WILKESBORO BLVD NE",
            "address_2": "SUITE 2A",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454498",
            "telephone_number": "828-754-3665",
            "fax_number": "828-757-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W HOWARD AVE",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278863409",
            "telephone_number": "252-641-0404",
            "fax_number": "252-641-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-754-3665"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300108",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300108K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.