Organization Active NPI

Compassion Home Care

  • In Home Supportive Care Agency
  • Wadesboro, NC
National Provider Identifier
1821316795
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4017 Issued in NC
Legal business name
COMPASSION HOME CARE
Practice address
122-A North Rutherford Street
Suite a
Wadesboro, NC 28170-2131
Phone
(704) 694-2028
Fax
(704) 694-2028
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Mrs. Ella Sturdivant Perry
Title
Agency Director
Phone
(704) 694-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4017 NC Primary

Addresses

Primary practice location

122-A North Rutherford Street
Suite a
Wadesboro, NC 28170-2131

Mailing address

122-A North Rutherford Street
Suite a
Wadesboro, NC 28170-2131
Phone (704) 694-2028

Other identifiers 1

IdentifierTypeStateIssuer
6602154MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Compassion Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

122 N Rutherford St
Ste A
Wadesboro, NC 28170
Phone (704) 694-2028

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1821316795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122-A NORTH RUTHERFORD STREET",
            "address_2": "SUITE A",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702131",
            "telephone_number": "704-694-2028",
            "fax_number": "704-694-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122-A NORTH RUTHERFORD STREET",
            "address_2": "SUITE A",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702131",
            "telephone_number": "704-694-2028",
            "fax_number": "704-694-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "STURDIVANT",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-694-2028",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602154",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.