Active NPI
Polk Vocational Services
Doing business as Polk County Sheltered Workshop dba Polk Vocational Services
- In Home Supportive Care Agency
- Columbus, NC
National Provider Identifier
1639210735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- POLK VOCATIONAL SERVICES
- Doing business as
- Polk County Sheltered Workshop dba Polk Vocational Services
- Practice address
- 451 Industrial Park Drive
Columbus, NC 28722 - Phone
- (828) 894-3041
- Fax
- (828) 894-3883
- NPI assigned
- Feb 9, 2007
- Last updated
- Nov 20, 2017
- Organization subpart
- Yes
- Parent organization
- POLK COUNTY SHELTERED WORKSHOP DBA POLK VOCATIONAL SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen A Jewell
- Title
- VP Program Services
- Phone
- (828) 894-3041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
451 Industrial Park Drive
Columbus, NC 28722
Mailing address
451 Industrial Park Drive
Columbus, NC 28722
Phone (828) 894-3041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408905 | Medicaid | NC |
Other names 1
- Polk County Sheltered Workshop dba Polk Vocational Services
National Provider Directory
National Provider Directory- Part of
- Polk Vocational Services
Locations
451 Industrial Park Dr
Columbus, NC 28722
Phone (828) 894-3041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511136000000",
"number": "1639210735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 INDUSTRIAL PARK DRIVE",
"city": "COLUMBUS",
"state": "NC",
"postal_code": "28722",
"telephone_number": "828-894-3041",
"fax_number": "828-894-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 INDUSTRIAL PARK DRIVE",
"city": "COLUMBUS",
"state": "NC",
"postal_code": "28722",
"telephone_number": "828-894-3041",
"fax_number": "828-894-3883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLK VOCATIONAL SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "POLK COUNTY SHELTERED WORKSHOP DBA POLK VOCATIONAL SERVICES",
"enumeration_date": "2007-02-09",
"last_updated": "2017-11-20",
"status": "A",
"authorized_official_last_name": "JEWELL",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VP PROGRAM SERVICES",
"authorized_official_telephone_number": "828-894-3041"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408905",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Polk County Sheltered Workshop dba Polk Vocational Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Columbus, NC
- Polk County Local Government
- Polk County Local Government (Polk County Emergency Services)
- Polk County Rescue Squad
- Polk County Schools
- Polk Emergency Physicians LLC
- Precision Plastic Surgery, PA Columbus
- Premier Pain Solutions PLLC
- Pro Physical Therapy, Inc.
- Radix Family Chiropractic, Inc.
- Ashlie Raines, M.A. CFY-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.