DLP Rutherford Regional Health System, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0186 Issued in NC

Legal business name

DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC

Doing business as

Carolina Home Care

Practice address

2270 US Highway 74a Byp
Suite 345
Forest City, NC 28043-2434

Phone

(828) 245-3575

Fax

(828) 245-5426

NPI assigned

Aug 30, 2006

Last updated

May 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Victor E. Giovanetti

Title

President

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Carolina Home Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rutherford Hospital, Inc.

  dba Rutherford Orthopaedics

  • Orthopaedic Surgery Physician
  • Rutherfordton, NC
  • NPI 1013903830

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• North Carolina in-Home Partner-V, LLC

  dba Carolina Home Care

  • Home Health Agency
  • Spindale, NC
  • NPI 1518406313

  Sold to, 2017-04-01

  CMS change of ownership

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1467561498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 US HIGHWAY 74A BYP",
            "address_2": "SUITE 345",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432434",
            "telephone_number": "828-245-3575",
            "fax_number": "828-245-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "GIOVANETTI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407169",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0074J",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600123",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408493",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, DME",
            "identifier": "0465G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700446",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DLP Rutherford Physician Practices LLC (Rutherford Children's Care)
• DLP Rutherford Physician Practices LLC
• DLP Rutherford Regional Health System, LLC (Rutherford Wound Care & Hyperbarics)
• DLP Rutherford Regional Health System, LLC (OneSource Rehab)
• DLP Rutherford Regional Health System, LLC (Rutherford Children's Care)
• DLP Rutherford Regional Health System, LLC (Carolina Home Care)
• DRS Griffith and Griffith
• James Russell Earley Jr., R.PH.
• Allison Nicholson Edgerton, PHARMD
• Amanda Kelly Eggleston, APRN, FNP-C

• Home Health Agency in Forest City, NC
• Providers in Forest City, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.