Nevers Home Healthcare Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3601 Issued in NC

Legal business name

NEVERS HOME HEALTHCARE AGENCY, INC

Practice address

3921 Colorado Dr
Hope Mills, NC 28348-2167

Phone

(910) 229-6728

Fax

(910) 864-1123

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Princess A King, MEDICAL ASSISTANCE

Title

Predisent/Owner

Phone

(910) 229-6728

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1528493749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 COLORADO DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482167",
            "telephone_number": "910-229-6728",
            "fax_number": "910-864-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 COLORADO DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482167",
            "telephone_number": "910-229-6728",
            "fax_number": "910-864-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVERS HOME HEALTHCARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PREDISENT/OWNER",
        "authorized_official_telephone_number": "910-229-6728",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MEDICAL ASSISTANCE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689723801",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC3601",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418287",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601653",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hope Mills, NC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.