Organization Active NPI

Quality Care Home Health Inc

  • Home Health Agency
  • Pembroke, NC
National Provider Identifier
1477837284
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3928 Issued in NC
Legal business name
QUALITY CARE HOME HEALTH INC
Practice address
3143 Union Chapel Rd
A
Pembroke, NC 28372-7932
Phone
(910) 775-9426
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Dr. Donovan Dixon, M.D.
Title
Ceo
Phone
(910) 775-9426

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X
Home Health Agency 251E00000X HC3928 NC Primary

Addresses

Primary practice location

3143 Union Chapel Rd
A
Pembroke, NC 28372-7932

Mailing address

3771 Ramsey St Ste 109-237
Fayetteville, NC 28311-7675

Other identifiers 2

IdentifierTypeStateIssuer
3418786MedicaidNC
6602308MedicaidNC

National Provider Directory

National Provider Directory

Locations

3771 Ramsey St
Ste 109237
Fayetteville, NC 28311

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1477837284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 RAMSEY ST STE 109-237",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 UNION CHAPEL RD",
            "address_2": "A",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727932",
            "telephone_number": "910-775-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-775-9426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418786",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602308",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.