Organization Active NPI

Advance One Home Care Agency

  • In Home Supportive Care Agency
  • Rocky Mount, NC
National Provider Identifier
1457066235
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADVANCE ONE HOME CARE AGENCY
Practice address
120 N Franklin St Ste C
Rocky Mount, NC 27804-5448
Phone
(252) 343-8916
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Juanita M Crews
Title
Owner
Phone
(252) 259-3975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

120 N Franklin St Ste C
Rocky Mount, NC 27804-5448

Mailing address

120 N Franklin St Ste C
Rocky Mount, NC 27804-5448
Phone (252) 259-3975

National Provider Directory

National Provider Directory

Locations

120 N Franklin St
Ste C
Rocky Mount, NC 27804
Phone (252) 343-8916

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1457066235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N FRANKLIN ST STE C",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045448",
            "telephone_number": "252-259-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N FRANKLIN ST STE C",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045448",
            "telephone_number": "252-343-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ONE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-259-3975"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.