Organization Active NPI

Regional in-Home Health Care Inc

  • Nursing Care Agency
  • Conway, NC
National Provider Identifier
1679554604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC1651 Issued in NC
Legal business name
REGIONAL IN-HOME HEALTH CARE INC
Practice address
114 E Main St
Conway, NC 27820-0327
Phone
(252) 585-3667
Fax
(252) 585-0788
NPI assigned
Nov 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Denise B Fleetwood
Title
Owner/President
Phone
(252) 585-3667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HC1651 NC Primary
Nursing Care Agency 251J00000X HC2198 NC

Addresses

Primary practice location

114 E Main St
Conway, NC 27820-0327

Mailing address

PO Box 327
Conway, NC 27820-0327
Phone (252) 585-3667

Other identifiers 3

IdentifierTypeStateIssuer
3408967MedicaidNC
6600578MedicaidNC
6600856MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679554604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "CONWAY",
            "state": "NC",
            "postal_code": "278200327",
            "telephone_number": "252-585-3667",
            "fax_number": "252-585-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "CONWAY",
            "state": "NC",
            "postal_code": "278200327",
            "telephone_number": "252-585-3667",
            "fax_number": "252-585-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL IN-HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEETWOOD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "252-585-3667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC1651",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC2198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408967",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600578",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600856",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, 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.

Verify at the official NPI Registry.