Fullers Home Health Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FULLERS HOME HEALTH CARE INC

Practice address

4000 Ward Blvd Ste J
Wilson, NC 27893-3279

Phone

(252) 291-4915

Fax

(252) 291-6962

NPI assigned

Nov 8, 2019

Organization subpart

No

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

Authorized official

Name

Ricky Fuller

Title

Director

Phone

(252) 291-4915

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1740825173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1991",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278941991",
            "telephone_number": "252-291-4915",
            "fax_number": "252-291-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WARD BLVD STE J",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933279",
            "telephone_number": "252-291-4915",
            "fax_number": "252-291-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-291-4915"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Family Medicine, P.a.
• Kenneth Ray Freeman II, MSW, LCSWA
• Samantha Renee Freeman
• Franklyn Jeremy Frias, DDS
• Brittany Wooten Fulghum, AGNP
• Carl Augustus Furr III, DDS
• Fve SE Wilson LLC (Parkwood Village)
• Zizette M Gabriel, MD
• Christopher Michael Gal, M.D.
• Lee Caitlin San Pedro Garcia

• In Home Supportive Care Agency in Wilson, NC
• Providers in Wilson, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.