Active NPI
Haven Home Care Inc.
- In Home Supportive Care Agency
- North Wilkesboro, NC
National Provider Identifier
1609298264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HAVEN HOME CARE INC.
- Practice address
- 206 6TH St Ste B
North Wilkesboro, NC 28659-4204 - Phone
- (336) 818-2050
- NPI assigned
- Jan 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Wymer
- Title
- Owner/Administrator
- Phone
- (336) 572-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
206 6TH St Ste B
North Wilkesboro, NC 28659-4204
Mailing address
PO Box 1227
Sparta, NC 28675-1227
National Provider Directory
National Provider DirectoryLocations
206 6th St
#B
North Wilkesboro, NC 28659
Phone (336) 818-2050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1609298264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1227",
"city": "SPARTA",
"state": "NC",
"postal_code": "286751227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 6TH ST STE B",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286594204",
"telephone_number": "336-818-2050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN HOME CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-15",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A",
"authorized_official_last_name": "WYMER",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "336-572-0040"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.