NPIMap

Organization Active NPI

Carrolton Home Care Incorporated

Doing business as Community Home Care and Hospice

  • Case Management Agency
  • Clinton, NC
National Provider Identifier
1679623193
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CARROLTON HOME CARE INCORPORATED
Doing business as
Community Home Care and Hospice
Practice address
216 Beaman St
Clinton, NC 28328-2906
Phone
(252) 467-1393
Fax
(252) 937-2647
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Michael Hale, P.A, R.N.
Title
Vice President Legal Services
Phone
(252) 467-1389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

216 Beaman St
Clinton, NC 28328-2906

Mailing address

800 Tiffany Blvd
Rocky Mount, NC 27804-1946
Phone (252) 467-1393

Other identifiers 1

IdentifierTypeStateIssuer
8700325MedicaidNC

Other names 1

  • Community Home Care and Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carrolton Home Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679623193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TIFFANY BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041946",
            "telephone_number": "252-467-1393",
            "fax_number": "252-937-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282906",
            "telephone_number": "252-467-1393",
            "fax_number": "252-937-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLTON HOME CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT LEGAL SERVICES",
        "authorized_official_telephone_number": "252-467-1389",
        "authorized_official_credential": "P.A, R.N."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700325",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, 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.