Yancey Home Care Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

01029 Issued in NC

Legal business name

YANCEY HOME CARE INC

Practice address

671 W US Highway 19E Byp
Burnsville, NC 28714-7279

Phone

(828) 678-3402

Fax

(828) 678-3404

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wade Dahlberg Jr.

Title

President

Phone

(828) 678-3402

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1821101304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287141180",
            "telephone_number": "828-678-3402",
            "fax_number": "828-678-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 W US HIGHWAY 19E BYP",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147279",
            "telephone_number": "828-678-3402",
            "fax_number": "828-678-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCEY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "DAHLBERG",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-678-3402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "01029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704285",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yancey Community Medical Services, Inc.
• Yancey County Committee on Aging, Inc.
• Yancey County Primary Care Center
• Yancey County Schools
• Yancey County Transportation
• Yancey House, LLC
• Yancey Residential Services, Inc.
• Yancey Residential Services, Inc.
• Laura Hastings Young, RN, AGNP-C
• Linda Zillweger, RPH

• All providers in Burnsville, NC
• Oxygen Equipment & Supplies (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.