Active NPI
Determined Home Care Agency LLC
- Home Health Agency
- Rocky Mount, NC
National Provider Identifier
1710030432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3103
- Legal business name
- DETERMINED HOME CARE AGENCY LLC
- Practice address
- 301 S Church St
Suite 144
Rocky Mount, NC 27804-5755 - Phone
- (252) 454-0404
- Fax
- (252) 454-0405
- NPI assigned
- Jan 18, 2007
- 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
- Mrs. Terry Harris
- Title
- Executive Director
- Phone
- (252) 281-4838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3103 | NC | Primary |
Addresses
Primary practice location
301 S Church St
Suite 144
Rocky Mount, NC 27804-5755
Mailing address
301 S Church St
Suite 144
Rocky Mount, NC 27804-5755
Phone (252) 454-0404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408698 | Medicaid | NC | |
| 6601330 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
301 S Church St
Ste 144
Rocky Mount, NC 27804
Phone (252) 454-0404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1710030432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S CHURCH ST",
"address_2": "SUITE 144",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045755",
"telephone_number": "252-454-0404",
"fax_number": "252-454-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S CHURCH ST",
"address_2": "SUITE 144",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045755",
"telephone_number": "252-454-0404",
"fax_number": "252-454-0405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETERMINED HOME CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "252-281-4838",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408698",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601330",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.