Active NPI
Long Life Home Care Inc.
- Home Health Agency
- New Bern, NC
National Provider Identifier
1811049877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 6600449
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408760 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.