NPIMap

Organization Active NPI

Northcare Health Services

  • Home Health Agency
  • Greenville, NC
National Provider Identifier
1821120239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC 0072 Issued in NC
Legal business name
NORTHCARE HEALTH SERVICES
Practice address
640 Medical Dr
Suite H
Greenville, NC 27834-7502
Phone
(252) 757-0029
Fax
(252) 757-0034
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Lynn Deimantas
Title
President
Phone
(252) 757-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC 0072 NC Primary

Addresses

Primary practice location

640 Medical Dr
Suite H
Greenville, NC 27834-7502

Mailing address

640 Medical Dr
Suite H
Greenville, NC 27834-7502
Phone (252) 757-0029

Other identifiers 1

IdentifierTypeStateIssuer
3408586MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Northcare Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821120239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MEDICAL DR",
            "address_2": "SUITE H",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347502",
            "telephone_number": "252-757-0029",
            "fax_number": "252-757-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MEDICAL DR",
            "address_2": "SUITE H",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347502",
            "telephone_number": "252-757-0029",
            "fax_number": "252-757-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEIMANTAS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-757-0029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 0072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408586",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.