Heroes Pediatric Hospice Agency L.L.C

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEROES PEDIATRIC HOSPICE AGENCY L.L.C

Practice address

110 Woodside Rd
Greenville, NC 27834-1129

Phone

(919) 295-6530

NPI assigned

Mar 31, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Tanisha Johnson

Title

Chief Executive Officer

Phone

(919) 295-6530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1770946345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20651",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278580651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WOODSIDE RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341129",
            "telephone_number": "919-295-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROES PEDIATRIC HOSPICE AGENCY L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-295-6530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Hernandez Garcia
• Ercilia Beatriz Hernandez Garcia, DO
• Citlaly Hernandez, PA-C
• Evan Elier Hernandez
• Yesenia Lopez Hernandez, LCSW
• Bridget Herring, NP
• Corina T Herring, CRNA
• Deborah Boyette Herring, RN
• Emily Herring
• Sarah Elisabeth Herring

• Community Based Hospice Care Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community Based Hospice Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.