Individual provider Active NPI

Shamica Lonette Johnson

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1750096327
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC8026 Issued in NC
Practice address
615 Saint George Square CT Ste 361
Winston Salem, NC 27103-1368
Phone
(336) 391-6487
Fax
(256) 325-5026
NPI assigned
Jan 18, 2023
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC8026 NC Primary

Addresses

Primary practice location

615 Saint George Square CT Ste 361
Winston Salem, NC 27103-1368

Mailing address

615 Saint George Square CT Ste 361
Winston Salem, NC 27103-1368
Phone (336) 391-6487

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address contact@homecarehalo.com
Direct Messaging Address info@homecarehalo.com Direct
Direct Messaging Address info@homecarehalo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HC8026NCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Homecare LLC In Home Supportive Care CurrentSince Oct 1, 2023 Accepting new patients
Home Assisted Living Opportunities LLC In Home Supportive Care CurrentSince Nov 24, 2025 Accepting new patients

Locations

250 Sun Temple Dr
Ste C5
Madison, AL 35758
Phone (256) 325-5023

615 Saint George Square Ct
Ste 361
Winston Salem, NC 27103
Phone (336) 391-6487

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1750096327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT STE 361",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031368",
            "telephone_number": "336-391-6487",
            "fax_number": "256-325-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT STE 361",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031368",
            "telephone_number": "336-391-6487",
            "fax_number": "256-325-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAMICA",
        "middle_name": "LONETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC8026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@homecarehalo.com",
            "affiliation": "N",
            "address_1": "615 Saint George Square Ct Ste 361",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271031368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@homecarehalo.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Instant messages",
            "address_1": "4100 Market St Ste 100",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358083007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@homecarehalo.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Instant messages",
            "address_1": "4100 Market St Ste 100",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358083007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.