Organization Active NPI

Jireh'S Home Care Agency, Inc.

  • Home Health Agency
  • Raeford, NC
National Provider Identifier
1497053292
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4277 Issued in NC
Legal business name
JIREH'S HOME CARE AGENCY, INC.
Practice address
137 N Main St
Raeford, NC 28376-2803
Phone
(910) 848-2761
Fax
(910) 848-2762
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Mrs. Angela McKoy
Title
Owner
Phone
(910) 848-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4277 NC Primary

Addresses

Primary practice location

137 N Main St
Raeford, NC 28376-2803

Mailing address

137 N Main St
Raeford, NC 28376-2803
Phone (910) 848-2761

National Provider Directory

National Provider Directory

Locations

137 N Main St
Raeford, NC 28376
Phone (910) 848-2761

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1497053292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762803",
            "telephone_number": "910-848-2761",
            "fax_number": "910-848-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762803",
            "telephone_number": "910-848-2761",
            "fax_number": "910-848-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH'S HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-848-2761",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.