NPIMap

Organization Active NPI

Carolinas Home Care Inc

  • Home Health Agency
  • Bethel, NC
National Provider Identifier
1760646814
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2428 Issued in NC
Legal business name
CAROLINAS HOME CARE INC
Practice address
130 West Washington St
Bethel, NC 27812
Phone
(252) 825-3212
Fax
(252) 825-3213
NPI assigned
Jul 17, 2008
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINAS HOME CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Ms. Mary P Larsen
Title
Finance Officer
Phone
(252) 332-7754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2428 NC Primary

Addresses

Primary practice location

130 West Washington St
Bethel, NC 27812

Mailing address

PO Box 1066
Ahoskie, NC 27910-1066
Phone (252) 332-7754

Other identifiers 1

IdentifierTypeStateIssuer
6601078MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Home Care Inc5 organizations share this tax ID, including this one
Part of
Carolinas Home Care Inc

Other organizations with this tax ID 4

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": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1760646814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101066",
            "telephone_number": "252-332-7754",
            "fax_number": "252-332-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WEST WASHINGTON ST",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "27812",
            "telephone_number": "252-825-3212",
            "fax_number": "252-825-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS HOME CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS HOME CARE INC",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "252-332-7754",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.