At Home Care Sweetmore Drive

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

AT HOME CARE SWEETMORE DRIVE

Practice address

6067 Sweetmore Dr
Ayden, NC 28513-8301

Phone

(252) 746-8800

NPI assigned

Aug 19, 2010

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bland Gardner Sr.

Title

Facility Director

Phone

(804) 520-7108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1609182385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 SWEETMORE DR",
            "city": "AYDEN",
            "state": "NC",
            "postal_code": "285138301",
            "telephone_number": "252-746-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 SWEETMORE DR",
            "city": "AYDEN",
            "state": "NC",
            "postal_code": "285138301",
            "telephone_number": "252-746-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CARE SWEETMORE DRIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BLAND",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "804-520-7108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Bradley Alcide, PHARM.D
• Ola Alrokh, MS
• Ambucare Medical Transport
• Articulate Minds and Innovative Solutions, PLLC
• Alexis Nicole Askew, LCMHCA, NCC
• Gary G Bawtinhimer, M.D.
• Julie Beck
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care of Ayden)
• Daryl Patrick Bourgeois, MS, OTR/L
• Alyssa Grace Bourget, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ayden, NC
• Providers in Ayden, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

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

Verify at the official NPI Registry.