Organization Active NPI

Parkview in Home Aide Services

  • In Home Supportive Care Agency
  • Sanford, NC
National Provider Identifier
1780912436
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC1034 Issued in NC
Legal business name
PARKVIEW IN HOME AIDE SERVICES
Practice address
620 Westover Drive
Sanford, NC 27331-4057
Phone
(919) 775-1853
Fax
(919) 774-6482
NPI assigned
Nov 18, 2009
Organization subpart
Yes
Parent organization
PARKVIEW IN HOME AIDE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Linda Keller Kelly, RN
Title
President
Phone
(919) 775-1853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC1034 NC Primary

Addresses

Primary practice location

620 Westover Drive
Sanford, NC 27331-4057

Mailing address

PO Box 4057
Sanford, NC 27331-4057
Phone (919) 775-1853

Other identifiers 1

IdentifierTypeStateIssuer
6600205MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Parkview in Home Aide Services2 organizations share this tax ID, including this one
Part of
Parkview in Home Aide Services

Other organizations with this tax ID 1

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

Locations

620 Westover Dr
Sanford, NC 27330
Phone (919) 775-1853

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1780912436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4057",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273314057",
            "telephone_number": "919-775-1853",
            "fax_number": "919-774-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WESTOVER DRIVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273314057",
            "telephone_number": "919-775-1853",
            "fax_number": "919-774-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW IN HOME AIDE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW IN HOME AIDE SERVICES",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KELLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-775-1853",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600205",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.