Active NPI
Heart to Heart Home Care Assistance
- In Home Supportive Care Agency
- Raleigh, NC
National Provider Identifier
1649841198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HEART TO HEART HOME CARE ASSISTANCE
- Practice address
- 11104 Penderwood CT
Raleigh, NC 27617-8573 - Phone
- (252) 226-2001
- NPI assigned
- Jul 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Olandis Scales
- Title
- Owner
- Phone
- (252) 226-2001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
11104 Penderwood CT
Raleigh, NC 27617-8573
Mailing address
142 Benge Dr
Elkin, NC 28621-8722
Phone (919) 344-6971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649841198 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Web | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1649841198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 BENGE DR",
"city": "ELKIN",
"state": "NC",
"postal_code": "286218722",
"telephone_number": "919-344-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 PENDERWOOD CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178573",
"telephone_number": "252-226-2001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART TO HEART HOME CARE ASSISTANCE",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-06",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "SCALES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "OLANDIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-226-2001"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649841198",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Web",
"affiliation": "N",
"endpointDescription": "Web",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11104 Penderwood Ct",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276178573",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.