Active NPI
Personal Healthcare, Inc.
- Home Health Agency
- Zebulon, NC
National Provider Identifier
1548336712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2355
- Legal business name
- PERSONAL HEALTHCARE, INC.
- Practice address
- 36 Hales Store Rd
Zebulon, NC 27597-5918 - Phone
- (919) 404-4774
- Fax
- (919) 404-4711
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard W Rutherford
- Title
- President
- Phone
- (919) 845-0845
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC2355 | NC | Primary |
| Home Health Agency | 251E00000X | HC 2498 | NC | |
| Home Health Agency | 251E00000X | HC 3107 | NC | |
| Home Health Agency | 251E00000X | HC 3108 | NC |
Addresses
Primary practice location
36 Hales Store Rd
Zebulon, NC 27597-5918
Mailing address
211 E Six Forks Rd
Suite 122
Raleigh, NC 27609-7745
Phone (919) 845-0845
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601140 | Medicaid | NC | |
| 3409595 | Medicaid | NC | |
| 6601403 | Medicaid | NC | |
| 6601404 | Medicaid | NC | |
| 6600944 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548336712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E SIX FORKS RD",
"address_2": "SUITE 122",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097745",
"telephone_number": "919-845-0845",
"fax_number": "919-845-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 HALES STORE RD",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275975918",
"telephone_number": "919-404-4774",
"fax_number": "919-404-4711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUTHERFORD",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-845-0845",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC2355",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC 2498",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC 3107",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC 3108",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601140",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409595",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601403",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601404",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600944",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zebulon, 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.