Myriad Homecare Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MYRIAD HOMECARE AGENCY, LLC

Practice address

262 Southtown Cir Ste C
Rolesville, NC 27571-9593

Phone

(919) 673-6910

NPI assigned

Aug 25, 2011

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Monty Midgette

Title

Owner

Phone

(919) 673-6910

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1750661492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275710363",
            "telephone_number": "919-673-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 SOUTHTOWN CIR STE C",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719593",
            "telephone_number": "919-673-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRIAD HOMECARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "MIDGETTE",
        "authorized_official_first_name": "MONTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-673-6910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "HC4430",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Rolesville, NC
• Providers in Rolesville, 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 Mar 17, 2022; 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.