NPIMap

Organization Active NPI

North Carolina Home Care, Inc

  • Home Health Agency
  • Statesville, NC
National Provider Identifier
1790793263
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1629 Issued in NC
Legal business name
NORTH CAROLINA HOME CARE, INC
Practice address
218 W Broad St
Statesville, NC 28677-5258
Phone
(704) 881-0099
Fax
(704) 881-0710
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Mr. Brian James Meagher
Title
Agency Director
Phone
(704) 881-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1629 NC Primary

Addresses

Primary practice location

218 W Broad St
Statesville, NC 28677-5258

Mailing address

218 W Broad St
Statesville, NC 28677-5258
Phone (704) 881-0099

Other identifiers 2

IdentifierTypeStateIssuer
6600570MedicaidNC
3408930MedicaidNC

National Provider Directory

National Provider Directory

Locations

218 W Broad St
Statesville, NC 28677
Phone (704) 881-0099

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1790793263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775258",
            "telephone_number": "704-881-0099",
            "fax_number": "704-881-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775258",
            "telephone_number": "704-881-0099",
            "fax_number": "704-881-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MEAGHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-881-0099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600570",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408930",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.