Individual provider Active NPI

Ikamie Taft

  • In Home Supportive Care Agency
  • Greenville, NC
National Provider Identifier
1477179307
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC5500 Issued in NC
Practice address
3280 Charles Blvd Ste 306
Greenville, NC 27858-8875
Phone
(252) 702-6218
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC5500 NC Primary

Addresses

Primary practice location

3280 Charles Blvd Ste 306
Greenville, NC 27858-8875

Mailing address

PO Box 699
Winterville, NC 28590-0699
Phone (252) 341-9572

Other identifiers 1

IdentifierTypeStateIssuer
HC5500MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HC5500NCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Majestic Support Services, LLC In Home Supportive Care CurrentSince Jun 21, 2020 Accepting new patients

Locations

3280 Charles Blvd
Ste 306
Greenville, NC 27858
Phone (252) 702-6218

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1477179307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285900699",
            "telephone_number": "252-341-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 CHARLES BLVD STE 306",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588875",
            "telephone_number": "252-702-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "IKAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC5500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC5500",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.