Organization Active NPI

Medlink Homecare LLC

  • Home Health Agency
  • Greensboro, NC
National Provider Identifier
1619655131
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDLINK HOMECARE LLC
Doing business as
Medlink Homecare
Practice address
2307 W Cone Blvd Ste 110a
Greensboro, NC 27408-4063
Phone
(276) 444-1814
NPI assigned
Jul 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Mr. Jamie Trenell Hickman II
Title
Owner
Phone
(980) 263-8436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2307 W Cone Blvd Ste 110a
Greensboro, NC 27408-4063

Mailing address

2307 W Cone Blvd Ste 110a
Greensboro, NC 27408-4063
Phone (276) 444-1814

Other names 1

  • Medlink Homecare Doing business as

National Provider Directory

National Provider Directory

Locations

2307 W Cone Blvd
Ste 110A
Greensboro, NC 27408
Phone (276) 444-1814

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1619655131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W CONE BLVD STE 110A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084063",
            "telephone_number": "276-444-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W CONE BLVD STE 110A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084063",
            "telephone_number": "276-444-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "TRENELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-263-8436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medlink Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 5, 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.