Organization Active NPI

Healing Hearts Home Care

  • In Home Supportive Care Agency
  • Greenville, NC
National Provider Identifier
1609418789
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEALING HEARTS HOME CARE
Practice address
3740 Evans St Ste C
Greenville, NC 27834-5413
Phone
(252) 565-8033
Fax
(252) 565-8034
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Shantaisa Ward
Title
RN
Phone
(252) 565-8033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3740 Evans St Ste C
Greenville, NC 27834-5413

Mailing address

3280 Charles Blvd Ste 308
Greenville, NC 27858-9277
Phone (252) 565-8033

National Provider Directory

National Provider Directory

Locations

3740 Evans St
Ste C
Greenville, NC 27834
Phone (252) 493-4926

1290 E Arlington Blvd
Ste 134
Greenville, NC 27858
Phone (919) 353-5995

3280 Charles Blvd
Ste 308
Greenville, NC 27858

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1609418789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 CHARLES BLVD STE 308",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589277",
            "telephone_number": "252-565-8033",
            "fax_number": "252-565-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 EVANS ST STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345413",
            "telephone_number": "252-565-8033",
            "fax_number": "252-565-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SHANTAISA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "252-565-8033"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.