Organization Active NPI

Servant'S Heart

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1619394327
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
MHL-041-995
Legal business name
SERVANT'S HEART
Practice address
9 Dunchurch CT
Greensboro, NC 27455-1431
Phone
(336) 617-4406
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Gina Tanner
Title
Director/QP
Phone
(336) 286-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X MHL-041-995 Primary

Addresses

Primary practice location

9 Dunchurch CT
Greensboro, NC 27455-1431

Mailing address

532 N Regional Rd Ste E
Greensboro, NC 27409-9057
Phone (336) 286-6400

National Provider Directory

National Provider Directory
Tax ID family
Servant'S Heart8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1619394327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 N REGIONAL RD STE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099057",
            "telephone_number": "336-286-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNCHURCH CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551431",
            "telephone_number": "336-617-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT'S HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "DIRECTOR/QP",
        "authorized_official_telephone_number": "336-286-6400"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": "MHL-041-995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.