Professional Family Health Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2949 Issued in NC

Legal business name

PROFESSIONAL FAMILY HEALTH SERVICE

Practice address

218 Church St E
Ahoskie, NC 27910-3518

Phone

(252) 332-5920

Fax

(252) 332-4460

NPI assigned

Jul 2, 2009

Last updated

Jul 2, 2009By 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

Mrs. Shaleacca Reshaun Vaughan

Title

Administrator

Phone

(252) 332-5920

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Professional Family Health Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Professonal Family Health Service

  • Nursing Facility/Intermediate Care Facility
  • Murfreesboro, NC
  • NPI 1871613299
  NPD tax ID

Locations

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1477782159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CHURCH ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103518",
            "telephone_number": "252-332-5920",
            "fax_number": "252-332-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CHURCH ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103518",
            "telephone_number": "252-332-5920",
            "fax_number": "252-332-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL FAMILY HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "SHALEACCA",
        "authorized_official_middle_name": "RESHAUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-332-5920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418553",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Scott Pratt, M.D.
• Pro Med Equipment and Supply Inc
• Pro-Med Equipment & Supply Inc.
• Proactive Therapy of North Carolina Inc (Select Physical Therapy)
• Professional Alternative Visions LLC
• Provision Homecare, LLC
• Pruden Counseling Concepts PLLC
• Keischa Pruden, LPC
• Latoyia R Pugh, LCAS-A, LPC
• Taunya Marie Queen-Melendez, ED.D., L.P.C.

• Home Health Agency in Ahoskie, NC
• Providers in Ahoskie, 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 Jul 2, 2009; 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.