Active NPI
Malachi Home Care,Inc
- Nursing Facility/Intermediate Care Facility
- Jacksonville, NC
National Provider Identifier
1477863355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.