Organization Active NPI

PJH PCS Services

  • Home Health Agency
  • RTP, NC
National Provider Identifier
1619210531
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC 3767 Issued in NC
Legal business name
PJH PCS SERVICES
Practice address
2 Davis Dr
Suite 113a
RTP, NC 27709-0003
Phone
(919) 730-3756
Fax
(919) 361-1891
NPI assigned
Mar 28, 2013
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PEACE AND JOY HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Bright Winner
Title
President
Phone
(919) 730-3756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC 3767 NC Primary

Addresses

Primary practice location

2 Davis Dr
Suite 113a
RTP, NC 27709-0003

Mailing address

2 Davis Dr
Suite 113a
RTP, NC 27709-0003
Phone (919) 730-3756

Other identifiers 1

IdentifierTypeStateIssuer
6602407MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
PJH PCS Services3 organizations share this tax ID, including this one
Part of
PJH PCS Services

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1619210531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DAVIS DR",
            "address_2": "SUITE 113A",
            "city": "RTP",
            "state": "NC",
            "postal_code": "277090003",
            "telephone_number": "919-730-3756",
            "fax_number": "919-361-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DAVIS DR",
            "address_2": "SUITE 113A",
            "city": "RTP",
            "state": "NC",
            "postal_code": "277090003",
            "telephone_number": "919-730-3756",
            "fax_number": "919-361-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJH PCS SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEACE AND JOY HOME CARE",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "WINNER",
        "authorized_official_first_name": "BRIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-730-3756"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 3767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602407",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in RTP, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.