Active NPI
Senior Choices Unlimited LLC
- Personal Care Attendant
- Wilmington, NC
National Provider Identifier
1548389778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- SENIOR CHOICES UNLIMITED LLC
- Practice address
- 5710 Oleander Dr Ste 102
Wilmington, NC 28403-4723 - Phone
- (910) 803-2155
- Fax
- (910) 803-2220
- NPI assigned
- Mar 28, 2007
- Last updated
- Sep 14, 2023
- 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
- Marissa Danielle Blackman
- Title
- Customer Service Representative
- Phone
- (910) 803-2155
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | ||
| Personal Care Attendant | 3747P1801X | NC | Primary |
Addresses
Primary practice location
5710 Oleander Dr Ste 102
Wilmington, NC 28403-4723
Mailing address
5710 Oleander Dr Ste 102
Wilmington, NC 28403-4723
Phone (910) 803-2155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600811 | Medicaid | NC | |
| 6600811NC | Medicaid | NC |
Other names 1
- HealthMate HomeCare
National Provider Directory
National Provider Directory- Tax ID family
- Healthmate Homecare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Wilmington, NC
- NPI 1700230489
Locations
5710 Oleander Dr
Ste 102
Wilmington, NC 28403
Phone (828) 282-2500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1548389778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR STE 102",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034723",
"telephone_number": "910-803-2155",
"fax_number": "910-803-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR STE 102",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034723",
"telephone_number": "910-803-2155",
"fax_number": "910-803-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CHOICES UNLIMITED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "BLACKMAN",
"authorized_official_first_name": "MARISSA",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "CUSTOMER SERVICE REPRESENTATIVE",
"authorized_official_telephone_number": "910-803-2155"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600811",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600811NC",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthMate HomeCare",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "HealthMate HomeCare",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.