NPIMap

Organization Active NPI

North Carolina Community Home Care Services, LLC

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1629796560
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NORTH CAROLINA COMMUNITY HOME CARE SERVICES, LLC
Practice address
108 Jigsaw Dr
Durham, NC 27704-6125
Phone
(610) 986-1077
NPI assigned
Aug 17, 2022
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Edith Walters-Wilson
Title
Owner/President
Phone
(610) 986-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

108 Jigsaw Dr
Durham, NC 27704-6125

Mailing address

414 Derby Way
Wilmington, DE 19810-2266
Phone (610) 986-1077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1629796560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 DERBY WAY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102266",
            "telephone_number": "610-986-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 JIGSAW DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277046125",
            "telephone_number": "610-986-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA COMMUNITY HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "WALTERS-WILSON",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "610-986-1077"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.