Organization Active NPI

Designated Home Care LLC

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1679291421
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DESIGNATED HOME CARE LLC
Doing business as
Designated Home Care LLC
Practice address
610 Summit Ave Ste a
Greensboro, NC 27405-7742
Phone
(336) 370-5060
Fax
(336) 443-0775
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Desiree Lewis-McCallNPI 1881278695
Title
Director / Owner
Phone
(336) 370-5060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

610 Summit Ave Ste a
Greensboro, NC 27405-7742

Mailing address

610 Summit Ave Ste a
Greensboro, NC 27405-7742
Phone (336) 370-5060

Other names 1

  • Designated Home Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

610 Summit Ave
#A
Greensboro, NC 27405
Phone (336) 370-5060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1679291421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SUMMIT AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057742",
            "telephone_number": "336-370-5060",
            "fax_number": "336-443-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SUMMIT AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057742",
            "telephone_number": "336-370-5060",
            "fax_number": "336-443-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNATED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS-MCCALL",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "DIRECTOR / OWNER",
        "authorized_official_telephone_number": "336-370-5060"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Designated Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.