NPIMap

Organization Active NPI

Our House Home Care Service, Inc.

  • Nursing Care Agency
  • New Bern, NC
National Provider Identifier
1760530240
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC 2208 Issued in NC
Legal business name
OUR HOUSE HOME CARE SERVICE, INC.
Practice address
2807 Neuse Blvd
Suite 6
New Bern, NC 28562-2815
Phone
(252) 634-2211
Fax
(252) 634-2212
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Wentiers Antario London, OWNER
Title
Administrative Director
Phone
(252) 634-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HC 2208 NC Primary

Addresses

Primary practice location

2807 Neuse Blvd
Suite 6
New Bern, NC 28562-2815

Mailing address

PO Box 15123
New Bern, NC 28561-5123
Phone (252) 634-2211

Other identifiers 3

IdentifierTypeStateIssuer
6601122MedicaidNC
6601553MedicaidNC
3408044MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Our House Home Care Service Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760530240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15123",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285615123",
            "telephone_number": "252-634-2211",
            "fax_number": "252-634-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 NEUSE BLVD",
            "address_2": "SUITE 6",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622815",
            "telephone_number": "252-634-2211",
            "fax_number": "252-634-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE HOME CARE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "WENTIERS",
        "authorized_official_middle_name": "ANTARIO",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "252-634-2211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC 2208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601122",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601553",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408044",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.