Active NPI
Phillips Home Health Care
- Home Health Agency
- Wilson, NC
National Provider Identifier
1619291903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3914
- Legal business name
- PHILLIPS HOME HEALTH CARE
- Practice address
- 806 Tarboro St W
Suit 4,5,6
Wilson, NC 27893-4771 - Phone
- (252) 246-9700
- Fax
- (252) 246-0500
- NPI assigned
- Mar 16, 2010
- 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
- Rennard Harris, MS
- Title
- Director/Owner
- Phone
- (252) 246-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3914 | NC | Primary |
Addresses
Primary practice location
806 Tarboro St W
Suit 4,5,6
Wilson, NC 27893-4771
Mailing address
PO Box 1391
Wilson, NC 27894-1391
Phone (252) 246-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418740 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Phillips Home Health Care Agency
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Fayetteville, NC
- NPI 1104140474
-
- Home Health Agency
- Wilson, NC
- NPI 1629303003
Locations
806 Tarboro St W
Ste 456
Wilson, NC 27893
Phone (252) 246-9700
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Home Health Agency
- Fayetteville, NC
- NPI 1104140474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268697600000",
"number": "1619291903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1391",
"city": "WILSON",
"state": "NC",
"postal_code": "278941391",
"telephone_number": "252-246-9700",
"fax_number": "252-246-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 TARBORO ST W",
"address_2": "SUIT 4,5,6",
"city": "WILSON",
"state": "NC",
"postal_code": "278934771",
"telephone_number": "252-246-9700",
"fax_number": "252-246-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-16",
"last_updated": "2010-03-16",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "RENNARD",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "252-246-9700",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418740",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.