Open Hearts Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPEN HEARTS HEALTHCARE LLC

Practice address

2006 N Pine St
Lumberton, NC 28358-3936

Phone

(910) 370-0274

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Andre Graha

Title

Director

Phone

(843) 939-0810

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• open hearts healthcare LLC Former legal business name

Electronic endpoints 3

Tax ID family

Open Hearts Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Open Hearts Healthcare LLC

  • In Home Supportive Care Agency
  • Lumberton, NC
  • NPI 1659097566
  NPD tax ID
• Open Hearts Lfeline LLC

  • Emergency Response System Companies
  • Lake City, SC
  • NPI 1558008722
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Open Hearts Healthcare LLC

  • In Home Supportive Care Agency
  • Lumberton, NC
  • NPI 1659097566
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Graham

  • Home Health Agency
  • Lake City, SC
  • NPI 1659986610
  NPD

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1558014134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ACLINE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602632",
            "telephone_number": "843-939-0810",
            "fax_number": "843-699-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N PINE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583936",
            "telephone_number": "910-370-0274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 S Acline St",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "SC",
            "postal_code": "295602632",
            "country_code": "US",
            "telephone_number": "843-939-0810",
            "fax_number": "843-699-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN HEARTS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "GRAHA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-939-0810"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1975",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852583645",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "internet",
            "affiliation": "N",
            "endpointDescription": "phonex",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "internet",
            "address_1": "109 S Acline St",
            "city": "Lake City",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295602632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INTERNET",
            "affiliation": "N",
            "endpointDescription": "INTERNET",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "INTERNET",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "INTERNET",
            "address_1": "109 S Acline St",
            "city": "Lake City",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295602632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "INTERNET",
            "affiliation": "N",
            "endpointDescription": "INTERNET",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "INTERNET",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "INTERNET",
            "address_1": "109 S Acline St",
            "city": "Lake City",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295602632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "open hearts healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• On Call Nursing of NC Inc
• One Stop Medical Care PLLC
• Bolanle O Onime, NP
• Godfrey Dele Onime, M.D.
• Emily Opeka
• Open Hearts Healthcare LLC
• Open Hearts Transportation
• Optimistic Faith Home Care
• Clair Osborne, BCPS
• Colin Porter Osborne III, DDS,PA

• Home Health Agency in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.