NPIMap

Organization Active NPI

Carolina Health Proffesionals, Inc.

  • Nursing Care Agency
  • Statesville, NC
National Provider Identifier
1487750147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC0013 Issued in NC
Legal business name
CAROLINA HEALTH PROFFESIONALS, INC.
Practice address
206 Cooper St Ste 111
Statesville, NC 28677-5897
Phone
(704) 872-2388
Fax
(704) 872-9112
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sherry Petrosino Hayes
Title
Administrator
Phone
(704) 872-2388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HC0013 NC Primary

Addresses

Primary practice location

206 Cooper St Ste 111
Statesville, NC 28677-5897

Mailing address

206 Cooper St Ste 111
Statesville, NC 28677-5897
Phone (704) 872-2388

Other identifiers 1

IdentifierTypeStateIssuer
6600096MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Health Professionals Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487750147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 COOPER ST STE 111",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775897",
            "telephone_number": "704-872-2388",
            "fax_number": "704-872-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COOPER ST STE 111",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775897",
            "telephone_number": "704-872-2388",
            "fax_number": "704-872-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTH PROFFESIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "PETROSINO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-872-2388",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC0013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.