NPIMap

Organization Active NPI

Home Life Care Inc

  • In Home Supportive Care Agency
  • Selma, NC
National Provider Identifier
1568520435
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC2466 Issued in NC
Legal business name
HOME LIFE CARE INC
Practice address
101 S Webb St
Selma, NC 27576-3148
Phone
(919) 351-0084
Fax
(919) 351-0103
NPI assigned
Dec 4, 2006
Last updated
Feb 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Ms. Melissa King
Title
Director
Phone
(252) 332-8265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC2466 NC Primary

Addresses

Primary practice location

101 S Webb St
Selma, NC 27576-3148

Mailing address

PO Box 1106
Ahoskie, NC 27910-1106
Phone (252) 332-8265

Other identifiers 1

IdentifierTypeStateIssuer
6601074MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Home Life Care Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1568520435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101106",
            "telephone_number": "252-332-8265",
            "fax_number": "252-332-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WEBB ST",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275763148",
            "telephone_number": "919-351-0084",
            "fax_number": "919-351-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LIFE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-332-8265",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601074",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.