NPIMap

Organization Active NPI

Open Hearts Healthcare LLC

  • In Home Supportive Care Agency
  • Lumberton, NC
National Provider Identifier
1659097566
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPEN HEARTS HEALTHCARE LLC
Doing business as
ANDREA GRAHAM
open hearts healthcare LLC
Practice address
2006 N Pine St
Lumberton, NC 28358-3936
Phone
(910) 370-0274
NPI assigned
Oct 13, 2022
Organization subpart
Yes
Parent organization
OPEN HEARTS HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Andrea Graham
Title
Director
Phone
(843) 939-0810

Specialties & licenses 1

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

Addresses

Primary practice location

2006 N Pine St
Lumberton, NC 28358-3936

Mailing address

121 S Acline St
Lake City, SC 29560-2632
Phone (910) 774-4650

Other names 2

  • ANDREA GRAHAM Doing business as
  • open hearts healthcare LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Open Hearts Healthcare LLC3 organizations share this tax ID, including this one
Part of
Open Hearts Healthcare LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1659097566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ACLINE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602632",
            "telephone_number": "910-774-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N PINE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583936",
            "telephone_number": "910-370-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEARTS HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN HEARTS HEALTHCARE LLC",
        "enumeration_date": "2022-10-13",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-939-0810"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDREA GRAHAM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "open hearts healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.