NPIMap

Organization Active NPI

St. Mary's Home Care

  • Home Health Agency
  • Henderson, NC
National Provider Identifier
1528197787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2392 Issued in NC
Legal business name
ST. MARY'S HOME CARE
Practice address
243 Dabney Dr
Henderson, NC 27536-4033
Phone
(252) 430-6873
Fax
(252) 430-6927
NPI assigned
Mar 5, 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
Mr. Elton Lee Joseph, OWNER
Title
Owner
Phone
(919) 363-1462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2392 NC Primary

Addresses

Primary practice location

243 Dabney Dr
Henderson, NC 27536-4033

Mailing address

243 Dabney Dr
Henderson, NC 27536-4033
Phone (252) 430-6873

Other identifiers 1

IdentifierTypeStateIssuer
6601244MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Home Care Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

243 Dabney Dr
Henderson, NC 27536
Phone (252) 430-6873

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528197787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364033",
            "telephone_number": "252-430-6873",
            "fax_number": "252-430-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364033",
            "telephone_number": "252-430-6873",
            "fax_number": "252-430-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-363-1462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601244",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, 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.