Organization Active NPI

Harnett Elder Care

  • Home Health Agency
  • Dunn, NC
National Provider Identifier
1689192148
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HARNETT ELDER CARE
Practice address
500 N Clinton Ave
Dunn, NC 28334-4039
Phone
(910) 658-2174
Fax
(910) 658-2174
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Authorized official

Name
Jamilla Randolph
Title
Vice President
Phone
(910) 292-2023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

500 N Clinton Ave
Dunn, NC 28334-4039

Mailing address

500 N Clinton Ave
Dunn, NC 28334-4039
Phone (910) 292-2422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1689192148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N CLINTON AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344039",
            "telephone_number": "910-292-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CLINTON AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344039",
            "telephone_number": "910-658-2174",
            "fax_number": "910-658-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARNETT ELDER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JAMILLA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-292-2023"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.