Organization Active NPI

B&L Advanced Home Care,Inc.

  • Home Health Agency
  • Yadkinville, NC
National Provider Identifier
1699086884
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4264 Issued in NC
Legal business name
B&L ADVANCED HOME CARE,INC.
Practice address
120 West Main Street
Yadkinville, NC 27055-8841
Phone
(336) 677-1002
NPI assigned
Jun 23, 2010
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Ms. Louise McCoy Pardue
Title
Executive Director
Phone
(336) 677-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4264 NC Primary

Addresses

Primary practice location

120 West Main Street
Yadkinville, NC 27055-8841

Mailing address

120 West Main Street
Yadkinville, NC 27055
Phone (336) 677-1002

Other identifiers 1

IdentifierTypeStateIssuer
6602264MedicaidNC

National Provider Directory

National Provider Directory

Locations

120 W Main St
Yadkinville, NC 27055
Phone (336) 677-1002

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1699086884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WEST MAIN STREET",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "27055",
            "telephone_number": "336-677-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEST MAIN STREET",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558841",
            "telephone_number": "336-677-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&L ADVANCED HOME CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "PARDUE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "MCCOY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-677-1002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.