Organization Active NPI

Allyn Healthcare Professionals, LLC

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1518099522
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3530 Issued in NC
Legal business name
ALLYN HEALTHCARE PROFESSIONALS, LLC
Practice address
5530 Angel Oaks Dr
Winston Salem, NC 27105-9112
Phone
(336) 377-9190
Fax
(336) 377-2544
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Ms. Bobbiette Allen David, RN
Title
Administrator
Phone
(336) 377-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3530 NC Primary

Addresses

Primary practice location

5530 Angel Oaks Dr
Winston Salem, NC 27105-9112

Mailing address

5530 Angel Oaks Dr
Winston Salem, NC 27105-9112
Phone (336) 377-9190

Other identifiers 1

IdentifierTypeStateIssuer
6601621MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1518099522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 ANGEL OAKS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059112",
            "telephone_number": "336-377-9190",
            "fax_number": "336-377-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 ANGEL OAKS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059112",
            "telephone_number": "336-377-9190",
            "fax_number": "336-377-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLYN HEALTHCARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "BOBBIETTE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-377-9190",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601621",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.