NPIMap

Organization Active NPI

Home Health and Hospice Care, Inc.

  • Home Health Agency
  • Goldsboro, NC
National Provider Identifier
1750337366
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0228 Issued in NC
Legal business name
HOME HEALTH AND HOSPICE CARE, INC.
Practice address
2402 Wayne Memorial Dr
Goldsboro, NC 27534-1728
Phone
(919) 735-1387
Fax
(919) 735-8460
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Mr. Nicholas Dean Lee
Title
President and Ceo
Phone
(919) 735-1387

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0228 NC Primary
Nursing Care Agency 251J00000X HC0228 NC

Addresses

Primary practice location

2402 Wayne Memorial Dr
Goldsboro, NC 27534-1728

Mailing address

2402 Wayne Memorial Dr
Goldsboro, NC 27534-1728
Phone (919) 735-1387

Other identifiers 9

IdentifierTypeStateIssuer
3408024MedicaidNC
7100365MedicaidNC
7100624MedicaidNC
7100362MedicaidNC
3407104MedicaidNC
7100360MedicaidNC
7100003MedicaidNC
7100625MedicaidNC
7100366MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060811000064 NC Part A Provider - Home Health Agency 1052314119 1 other NPI on this enrollment
Practice locations: Wilson, NC; Smithfield, NC; Pollocks, NC; New Bern, NC; Kinston, NC; Greenville, NC; Goldsboro, NC; Clinton, NC

Home health agency certification: CCN 347104

Legal name
HOME HEALTH AND HOSPICE CARE INC
Doing business as
3HC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 24, 1981
Last certification
Aug 5, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1985 in NC
Enrollment address
2402 Wayne Memorial Dr
Goldsboro, NC 27534-1728
HHA Branch

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
3HCCCN 347104
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Jul 24, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Home Heahth Care and Hospice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1864 W Arlington Blvd
Greenville, NC 27834
Phone (252) 758-8212

518 Plaza Blvd
Ste 4
Kinston, NC 28501
Phone (252) 527-9561

2516 Ward Blvd
Wilson, NC 27893
Phone (252) 291-4400

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sarah Wilson Individual Corporate OfficerCfo Feb 17, 2021
Jennifer J Whitley Individual Corporate OfficerInterim Chief Executive Officer Mar 1, 2024 100%
W-2 Managing EmployeeAd;Interim Chief Executive Offic Mar 1, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 191

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 191

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1750337366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341728",
            "telephone_number": "919-735-1387",
            "fax_number": "919-735-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341728",
            "telephone_number": "919-735-1387",
            "fax_number": "919-735-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AND HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "919-735-1387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0228",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC0228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408024",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100365",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100624",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100362",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407104",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100360",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100003",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100625",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100366",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.