Organization Active NPI

Senior Choices Unlimited LLC

  • Personal Care Attendant
  • Wilmington, NC
National Provider Identifier
1548389778
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6600811MedicaidNC
6600811NCMedicaidNC

Other names 1

  • HealthMate HomeCare Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Healthmate Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.