NPIMap

Organization Active NPI

Interim Healthcare of the Eastern Carolinas, Inc

  • In Home Supportive Care Agency
  • Burgaw, NC
National Provider Identifier
1699827105
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC
Practice address
126 W Fremont Street
Burgaw, NC 28425-5099
Phone
(910) 259-7075
Fax
(910) 259-9249
NPI assigned
Jan 17, 2007
Last updated
Jul 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Authorized official

Name
Mrs. Donna L Byrd
Title
President - Owner
Phone
(910) 642-2106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3651 NC
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

126 W Fremont Street
Burgaw, NC 28425-5099

Mailing address

PO Box 2249
Whiteville, NC 28472-7249
Phone (910) 642-2106

Other identifiers 2

IdentifierTypeStateIssuer
6601720MedicaidNC
7100602MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of the Eastern Carolinas Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

126 W Fremont St
Burgaw, NC 28425
Phone (910) 663-5450

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1699827105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2249",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284727249",
            "telephone_number": "910-642-2106",
            "fax_number": "910-640-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W FREMONT STREET",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255099",
            "telephone_number": "910-259-7075",
            "fax_number": "910-259-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "910-642-2106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3651",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601720",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100602",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.