Active NPI
Northcare Health Services
- Home Health Agency
- Greenville, NC
National Provider Identifier
1659348183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC0072
- Legal business name
- NORTHCARE HEALTH SERVICES
- Practice address
- 640 Medical Dr
Suite H
Greenville, NC 27834-7502 - Phone
- (252) 757-0029
- Fax
- (252) 757-0034
- NPI assigned
- Mar 3, 2006
- 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
- Mrs. Karen Lynn Deimantas
- Title
- President
- Phone
- (252) 757-0029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC0072 | NC | Primary |
Addresses
Primary practice location
640 Medical Dr
Suite H
Greenville, NC 27834-7502
Mailing address
640 Medical Dr
Suite H
Greenville, NC 27834-7502
Phone (252) 757-0029
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074K | Other | NC | BCBS |
| 7100390 | Medicaid | NC | |
| 0077N | Other | NC | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Northcare Health Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Greenville, NC
- NPI 1215060165
-
- Home Health Agency
- Greenville, NC
- NPI 1821120239
-
- Home Health Agency
- Greenville, NC
- NPI 1902938160
Locations
640 Medical Dr
Ste H
Greenville, NC 27834
Phone (252) 757-0029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659348183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 MEDICAL DR",
"address_2": "SUITE H",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347502",
"telephone_number": "252-757-0029",
"fax_number": "252-757-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 MEDICAL DR",
"address_2": "SUITE H",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347502",
"telephone_number": "252-757-0029",
"fax_number": "252-757-0034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHCARE HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEIMANTAS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-757-0029",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0074K",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100390",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0077N",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.