Organization Active NPI

Henderson/Vance Healthcare, Inc.

Doing business as Maria Parham Regional Home Health

  • Home Health Agency
  • Henderson, NC
National Provider Identifier
1780788265
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0823 Issued in NC
Legal business name
HENDERSON/VANCE HEALTHCARE, INC.
Doing business as
Maria Parham Regional Home Health
Practice address
566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone
(252) 431-3708
Fax
(252) 431-3734
NPI assigned
Sep 12, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Ms. Catherine P Blankenship, RN, BSN
Title
Agency Administrator
Phone
(252) 431-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0823 NC Primary

Addresses

Primary practice location

566 Ruin Creek Rd
Henderson, NC 27536-2927

Mailing address

PO Box 1301
Henderson, NC 27536-1301
Phone (252) 431-3708

Other identifiers 2

IdentifierTypeStateIssuer
0077FOtherNCBCBC
3417222MedicaidNC

Other names 1

  • Maria Parham Regional Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maria Parham Hosp Crna3 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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1780788265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1301",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275361301",
            "telephone_number": "252-431-3708",
            "fax_number": "252-431-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362927",
            "telephone_number": "252-431-3708",
            "fax_number": "252-431-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON/VANCE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "252-431-3708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "0077F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417222",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maria Parham Regional Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.