Organization Active NPI

Centerpeace Home Healthcare & Companion Services, LLC

  • Home Health Aide
  • Fuquay Varina, NC
National Provider Identifier
1487743365
Registry record updated Jun 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HC3422 Issued in NC
Legal business name
CENTERPEACE HOME HEALTHCARE & COMPANION SERVICES, LLC
Practice address
521 Broad St
Fuquay Varina, NC 27526-1707
Phone
(919) 567-8200
Fax
(919) 567-8201
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2008

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

Authorized official

Name
Genel Webb
Title
Managing Director
Phone
(919) 567-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X HC3422 NC Primary

Addresses

Primary practice location

521 Broad St
Fuquay Varina, NC 27526-1707

Mailing address

521 Broad St
Fuquay Varina, NC 27526-1707
Phone (919) 567-8200

Other identifiers 1

IdentifierTypeStateIssuer
6601526MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Centerpeace Home Healthcare Companion Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

521 E Broad St
Fuquay Varina, NC 27526
Phone (919) 567-8200

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1487743365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261707",
            "telephone_number": "919-567-8200",
            "fax_number": "919-567-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261707",
            "telephone_number": "919-567-8200",
            "fax_number": "919-567-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPEACE HOME HEALTHCARE & COMPANION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "GENEL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "919-567-8200"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC3422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601526",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; 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.