White Swan Home Health Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4238 Issued in NC

Legal business name

WHITE SWAN HOME HEALTH CARE, LLC

Practice address

120 N Broad Street
1-A
Angier, NC 27501-0000

Phone

(919) 799-2019

NPI assigned

Feb 15, 2013

Last updated

Jun 19, 2013By 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

Johnathaun Lee

Title

Owner

Phone

(954) 479-9856

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

White Swan Home Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• White Swan Home Health LLC

  • Home Health Agency
  • High Point, NC
  • NPI 1427350313
  NPD tax ID
• WSH Cap Services

  • Home Health Agency
  • High Point, NC
  • NPI 1891131868
  NPD tax ID

Locations

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1467792234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 HEARTHSIDE DRIVE",
            "address_2": "104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284128335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BROAD STREET",
            "address_2": "1-A",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275010000",
            "telephone_number": "919-799-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SWAN HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHNATHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-479-9856"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4238",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DHHS",
            "identifier": "HC4238",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Andrea Valencia Echeverri
• Valley Radiology at Angier LLC
• Walgreen Co (Walgreens #16135)
• Amelia Ann Weaver
• Carolyn Western, BA, CSAC
• Laine Whited
• Angela Morris Williams, RPH
• Ryan Patrick Williams, PHARM D
• Selena Collins Williams, RN, OWNER
• Charles Brandon Woods, PHARMD

• In Home Supportive Care Agency in Angier, NC
• Providers in Angier, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.