Nicky Nicole Callands

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC5859 Issued in NC

Practice address

121 S Elm St
Greensboro, NC 27401-2601

Phone

(336) 268-7296

NPI assigned

Mar 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prayers of Care Inc

  • In Home Supportive Care Agency
  • Greensboro, NC
  • NPI 1043895022
  NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1497340749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012601",
            "telephone_number": "336-268-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLANDS",
        "first_name": "NICKY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC5859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853322619",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura May Caldwell, RN, MSN, FNP-C
• Nikki Hodge Caldwell, LPC
• Susan Annette Cales, LMBT
• David Lee Call, MD
• Sidney Callahan, D.O.
• Teresa Callands
• Julie Callicutt, M.ED., E.I., ITFS
• Johnice Calliste-Batholomew
• Gregory Calone, MSN, FNP-C
• Calso Physical Therapy LLC

• In Home Supportive Care Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.