Organization Active NPI

Malachi Home Care,Inc

  • Nursing Facility/Intermediate Care Facility
  • Jacksonville, NC
National Provider Identifier
1477863355
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MALACHI HOME CARE,INC
Doing business as
Malachi Home care, Inc
Practice address
200 Valencia Dr
Suite 103
Jacksonville, NC 28546-6311
Phone
(910) 539-8549
NPI assigned
Oct 13, 2010
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Ms. Shannette Monique Gray
Title
Ceo
Phone
(910) 539-8549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NC Primary

Addresses

Primary practice location

200 Valencia Dr
Suite 103
Jacksonville, NC 28546-6311

Mailing address

PO Box 1733
Jacksonville, NC 28541-1733
Phone (910) 539-8549

Other names 1

  • Malachi Home care, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

200 Valencia Dr
Ste 103
Jacksonville, NC 28546
Phone (910) 539-8549

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1477863355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1733",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285411733",
            "telephone_number": "910-539-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466311",
            "telephone_number": "910-539-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALACHI HOME CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SHANNETTE",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-539-8549",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malachi Home care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.