Organization Active NPI

Our House Home Care Service, Inc.

  • Home Health Agency
  • Greenville, NC
National Provider Identifier
1487786315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC 3473 Issued in NC
Legal business name
OUR HOUSE HOME CARE SERVICE, INC.
Practice address
323 E Arlington Blvd
Greenville, NC 27858-5017
Phone
(252) 353-2022
Fax
(252) 353-2024
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Wentiers Antario London
Title
Administrative Director
Phone
(252) 353-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC 3473 NC Primary

Addresses

Primary practice location

323 E Arlington Blvd
Greenville, NC 27858-5017

Mailing address

PO Box 8558
Greenville, NC 27835-8558
Phone (252) 353-2022

Other identifiers 1

IdentifierTypeStateIssuer
6601553MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Our House Home Care Service Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

323 E Arlington Blvd
Greenville, NC 27858
Phone (252) 353-2022

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487786315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8558",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358558",
            "telephone_number": "252-353-2022",
            "fax_number": "252-353-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585017",
            "telephone_number": "252-353-2022",
            "fax_number": "252-353-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE HOME CARE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "WENTIERS",
        "authorized_official_middle_name": "ANTARIO",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "252-353-2022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 3473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601553",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, 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.