NPIMap

Organization Active NPI

Martin-Tyrrell-Washington District Health Department

  • Home Health Agency
  • Plymouth, NC
National Provider Identifier
1639242530
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Practice address
198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone
(252) 793-3023
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Kathleen Anne Devore Jones
Title
Health Director
Phone
(252) 791-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NC Primary

Addresses

Primary practice location

198 NC Highway 45 N
Plymouth, NC 27962-9232

Mailing address

198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone (252) 793-3023

Other identifiers 1

IdentifierTypeStateIssuer
3408188MedicaidNC

Other names 1

  • Roanoke Home Care & Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin-Tyrrell-Washington13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1639242530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-793-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-793-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "DEVORE JONES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-791-3101"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408188",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roanoke Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.