Active NPI
Parkview in Home Aide Services Inc
- Nurse's Aide
- Sanford, NC
National Provider Identifier
1679687156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- HC1034
- Legal business name
- PARKVIEW IN HOME AIDE SERVICES INC
- Practice address
- 620 Westover Dr
Sanford, NC 27331-4057 - Phone
- (919) 775-1853
- Fax
- (919) 774-6482
- NPI assigned
- Aug 19, 2006
- Last updated
- Nov 9, 2009
- Organization subpart
- Yes
- Parent organization
- PARKVIEW IN HOME AIDE SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Keller Kelly, RN
- Title
- President
- Phone
- (919) 775-1853
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | HC1034 | NC | Primary |
| In Home Supportive Care Agency | 253Z00000X | HC1034 | NC |
Addresses
Primary practice location
620 Westover Dr
Sanford, NC 27331-4057
Mailing address
PO Box 4057
Sanford, NC 27331-4057
Phone (919) 775-1853
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408453 | Medicaid | NC | |
| 6600205 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Parkview in Home Aide Services
- Part of
- Parkview in Home Aide Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Sanford, NC
- NPI 1780912436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257724800000",
"number": "1679687156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4057",
"city": "SANFORD",
"state": "NC",
"postal_code": "273314057",
"telephone_number": "919-775-1853",
"fax_number": "919-774-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 WESTOVER DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273314057",
"telephone_number": "919-775-1853",
"fax_number": "919-774-6482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKVIEW IN HOME AIDE SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARKVIEW IN HOME AIDE SERVICES INC",
"enumeration_date": "2006-08-19",
"last_updated": "2009-11-09",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "KELLER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-775-1853",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "HC1034",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC1034",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408453",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600205",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.