NPIMap

Organization Active NPI

Innercoastal Home Care Services, Inc

  • In Home Supportive Care Agency
  • Ahoskie, NC
National Provider Identifier
1679288427
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INNERCOASTAL HOME CARE SERVICES, INC
Practice address
301 Main St W Ste 2
Ahoskie, NC 27910-3319
Phone
(252) 642-5345
NPI assigned
Jan 17, 2023
Last updated
Feb 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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

Authorized official

Name
Vickie PersaudNPI 1174042907
Title
Ceo
Phone
(252) 642-5345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

301 Main St W Ste 2
Ahoskie, NC 27910-3319

Mailing address

PO Box 134
Colerain, NC 27924-0134
Phone (252) 642-5345

Other names 1

  • Select Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Innercoastal Home Care Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

228 Main St E
Ste B
Ahoskie, NC 27910
Phone (252) 642-5345

301 Main St W
Ste 2
Ahoskie, NC 27910
Phone (252) 642-5345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676073600000",
    "number": "1679288427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279240134",
            "telephone_number": "252-642-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST W STE 2",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103319",
            "telephone_number": "252-642-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERCOASTAL HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-642-5345"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Select",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.