Active NPI
Wanda Faye Temple
- Home Health Aide
- Morehead City, NC
National Provider Identifier
1578871034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HC4175
- Practice address
- 1403 Bridges St
Morehead City, NC 28557-3758 - Phone
- (252) 726-6780
- Fax
- (252) 726-6780
- NPI assigned
- Sep 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | HC4175 | NC | |
| Home Health Aide | 374U00000X | HC4175 | NC | Primary |
| Nurse's Aide | 376K00000X | HC4175 | NC |
Addresses
Primary practice location
1403 Bridges St
Morehead City, NC 28557-3758
Mailing address
120 Bogue Landing Dr
Newport, NC 28570-9313
Phone (252) 726-6780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC4175 | NC | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Touch Home Care, LLC | Adult Companion | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Morehead City, NC
- NPI 1770886863
Adult Companion
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284768000000",
"number": "1578871034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BOGUE LANDING DR",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285709313",
"telephone_number": "252-726-6780",
"fax_number": "252-726-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 BRIDGES ST",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573758",
"telephone_number": "252-726-6780",
"fax_number": "252-726-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "WANDA",
"middle_name": "FAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-18",
"last_updated": "2010-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NC",
"license": "HC4175",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC4175",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "HC4175",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.