Organization Active NPI

Long Life Home Care Inc.

  • Home Health Agency
  • New Bern, NC
National Provider Identifier
1811049877
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6600449 Issued in NC
Legal business name
LONG LIFE HOME CARE INC.
Practice address
1200 Simmons St
New Bern, NC 28560-4306
Phone
(252) 636-3733
Fax
(252) 636-1284
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Ms. Joyce Simmons
Title
Director
Phone
(252) 636-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6600449 NC Primary

Addresses

Primary practice location

1200 Simmons St
New Bern, NC 28560-4306

Mailing address

PO Box 241
New Bern, NC 28563-0241
Phone (252) 636-3733

Other identifiers 1

IdentifierTypeStateIssuer
3408760MedicaidNC

National Provider Directory

National Provider Directory

Locations

1200 Simmons St
New Bern, NC 28560
Phone (252) 259-6440

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1811049877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285630241",
            "telephone_number": "252-636-3733",
            "fax_number": "252-636-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SIMMONS ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604306",
            "telephone_number": "252-636-3733",
            "fax_number": "252-636-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-636-3733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "6600449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408760",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.