NPIMap

Organization Active NPI

Healthaccess, Inc

  • Case Management Agency
  • Kenansville, NC
National Provider Identifier
1679943674
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
HC0053 Issued in NC
Legal business name
HEALTHACCESS, INC
Practice address
750 Kenansville Byp
Kenansville, NC 28349-9064
Phone
(910) 296-0819
Fax
(910) 296-0482
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Joan Wynn, PHD
Title
President
Phone
(252) 847-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X HC0053 NC Primary

Addresses

Primary practice location

750 Kenansville Byp
Kenansville, NC 28349-9064

Mailing address

PO Box 8125
Greenville, NC 27835-8125
Phone (252) 847-2000

Other identifiers 1

IdentifierTypeStateIssuer
3408207MedicaidNC

Other names 1

  • VIDANT HOME HEALTH AND HOSPICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Carolina Health SRVS8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1679943674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358125",
            "telephone_number": "252-847-2000",
            "fax_number": "252-847-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KENANSVILLE BYP",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499064",
            "telephone_number": "910-296-0819",
            "fax_number": "910-296-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHACCESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-2000",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "HC0053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408207",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDANT HOME HEALTH AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.