NPIMap

Organization Active NPI

Northern Lifeline

  • Home Health Agency
  • Mount Airy, NC
National Provider Identifier
1457412926
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0420 Issued in NC
Legal business name
NORTHERN LIFELINE
Practice address
1401 Boggs Dr
Mount Airy, NC 27030-2147
Phone
(336) 719-7580
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William B. James
Title
Ceo
Phone
(336) 719-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0420 NC Primary

Addresses

Primary practice location

1401 Boggs Dr
Mount Airy, NC 27030-2147

Mailing address

1401 Boggs Dr
Mount Airy, NC 27030-2147
Phone (336) 719-7580

Other identifiers 1

IdentifierTypeStateIssuer
3408367MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Northern Hosp of Surry Co13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

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": "1598054400000",
    "number": "1457412926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BOGGS DR",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302147",
            "telephone_number": "336-719-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BOGGS DR",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302147",
            "telephone_number": "336-719-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIFELINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-719-7101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408367",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.