Organization Active NPI

Personal Homecare Solutions, Inc.

  • Personal Care Attendant
  • Goldsboro, NC
National Provider Identifier
1487715553
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
HC2847 Issued in NC
Legal business name
PERSONAL HOMECARE SOLUTIONS, INC.
Practice address
1708 Wayne Memorial Dr
Suite B
Goldsboro, NC 27534-2272
Phone
(919) 580-9045
Fax
(919) 580-9044
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Mrs. Robin Wilson, R.N.
Title
Owner Service Supervisor
Phone
(919) 580-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X HC2847 NC Primary

Addresses

Primary practice location

1708 Wayne Memorial Dr
Suite B
Goldsboro, NC 27534-2272

Mailing address

PO Box 11270
Goldsboro, NC 27532-1270
Phone (919) 580-9045

Other identifiers 2

IdentifierTypeStateIssuer
99509MedicaidNC
S5125MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Personal Homecare Solutions Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1487715553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11270",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275321270",
            "telephone_number": "919-580-9045",
            "fax_number": "919-580-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 WAYNE MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342272",
            "telephone_number": "919-580-9045",
            "fax_number": "919-580-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOMECARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER SERVICE SUPERVISOR",
        "authorized_official_telephone_number": "919-580-9045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC2847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99509",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S5125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.