Organization Active NPI

Haven Home Care Inc.

  • In Home Supportive Care Agency
  • North Wilkesboro, NC
National Provider Identifier
1609298264
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Nov 27, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.