Active NPI
Pro Worker Home Care Agency
- Home Health Agency
- Greenville, NC
National Provider Identifier
1689265209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRO WORKER HOME CARE AGENCY
- Practice address
- 2409 Charles Blvd
Greenville, NC 27858-5925 - Phone
- (252) 695-8049
- NPI assigned
- Jan 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Moore Jr.
- Title
- Owner
- Phone
- (252) 695-8049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2409 Charles Blvd
Greenville, NC 27858-5925
Mailing address
2409 Charles Blvd
Greenville, NC 27858-5925
Phone (252) 695-8049
National Provider Directory
National Provider DirectoryLocations
2409 Charles Blvd
Greenville, NC 27858
Phone (252) 286-4370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611705600000",
"number": "1689265209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 CHARLES BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585925",
"telephone_number": "252-695-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 CHARLES BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585925",
"telephone_number": "252-695-8049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO WORKER HOME CARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-695-8049",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.