Organization Active NPI

Bonding Lives Home Care Agency Inc

  • Home Health Agency
  • Creedmoor, NC
National Provider Identifier
1588871305
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3168 Issued in NC
Legal business name
BONDING LIVES HOME CARE AGENCY INC
Practice address
1206 Summerfield LN E
Creedmoor, NC 27522
Phone
(252) 767-5510
NPI assigned
May 17, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kisha Jones Harris
Title
Owner
Phone
(919) 903-4459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3168 NC Primary

Addresses

Primary practice location

1206 Summerfield LN E
Creedmoor, NC 27522

Mailing address

1206 Summerfield LN E
Creedmoor, NC 27522

Other identifiers 1

IdentifierTypeStateIssuer
6601384MedicaidNC

National Provider Directory

National Provider Directory

Locations

3006 Guess Rd
Durham, NC 27705

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1588871305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 SUMMERFIELD LN E",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 SUMMERFIELD LN E",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "252-767-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONDING LIVES HOME CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "JONES HARRIS",
        "authorized_official_first_name": "KISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-903-4459"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.