NPIMap

Organization Active NPI

At Home Senior Services

  • In Home Supportive Care Agency
  • Wake Forest, NC
National Provider Identifier
1700289014
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4685 Issued in NC
Legal business name
AT HOME SENIOR SERVICES
Practice address
2317 Verdant CT
Wake Forest, NC 27587-3407
Phone
(919) 606-1739
NPI assigned
Sep 30, 2014
Organization subpart
Yes
Parent organization
AT HOME SENIOR SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Phillip Morris
Title
President
Phone
(919) 606-1739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4685 NC Primary

Addresses

Primary practice location

2317 Verdant CT
Wake Forest, NC 27587-3407

Mailing address

2317 Verdant CT
Wake Forest, NC 27587-3407
Phone (919) 606-1739

Other names 1

  • HomeChoice Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At Home Senior Services Inc9 organizations share this tax ID, including this one
Part of
At Home Senior Services Inc

Other organizations with this tax ID 8

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1700289014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 VERDANT CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873407",
            "telephone_number": "919-606-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 VERDANT CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873407",
            "telephone_number": "919-606-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME SENIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AT HOME SENIOR SERVICES",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-606-1739"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeChoice Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.