Active NPI
Advance One Home Care Agency
- In Home Supportive Care Agency
- Rocky Mount, NC
National Provider Identifier
1457066235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.