CPS Home Care, Inc

Key facts

NPI

1457771990

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

License

6602249 (NC)

Legal business name

CPS HOME CARE, INC

Practice address

1700 E Ash St Ste 301
Goldsboro, NC 27530-4097

Phone

(877) 213-3533

Fax

(877) 213-7622

NPI assigned

Apr 23, 2014

Organization subpart

No

Authorized official

Name

Mr. Kenneth Earl Hodges, RN NPI 1578856266

Title

Agency Director

Phone

(877) 213-3533

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Hodges, RN Home Health Registered Nurse · Goldsboro, NC · NPI 1578856266
  NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2014.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1457771990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 301",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "877-213-3533",
            "fax_number": "877-213-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 301",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "877-213-3533",
            "fax_number": "877-213-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPS HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "877-213-3533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "6602249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

• David Jonathan Cox, H.I.S.
• Jennifer Long Cox, MS, LCAS, LCMHC, CRC
• Johnny Lee Cox II
• Marlena Cox
• Meredith Price Cox
• Robert Craig, D.D.S.
• Bambi Michelle Crawford-Jones, LCMHCA
• T-Rex Crawford, ABD, LCAS, CSI, LCSW
• Sara Creech
• Kevin M Cregan, M.D.

All providers in Goldsboro, NC · Home Health Agency in North Carolina