Active NPI
County of Stanly
- Home Health Agency
- Albemarle, NC
National Provider Identifier
1831132596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC0514
- Legal business name
- COUNTY OF STANLY
- Practice address
- 1000 N 1St St
Suite 3
Albemarle, NC 28001-2819 - Phone
- (704) 982-1141
- Fax
- (704) 986-3039
- NPI assigned
- Jun 13, 2006
- Organization subpart
- Yes
- Parent organization
- COUNTY OF STANLY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis Ray Joyner, MPH
- Title
- Health Director
- Phone
- (704) 982-9171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC0514 | NC | Primary |
Addresses
Primary practice location
1000 N 1St St
Suite 3
Albemarle, NC 28001-2819
Mailing address
1000 N 1St St
Suite 3
Albemarle, NC 28001-2819
Phone (704) 982-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3407071 | Medicaid | NC |
Other names 1
- Stanly County Home Health Agency
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Stanly County Department of Social Services
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2021 | Change of Ownership | Adoration Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Albemarle, NC
- NPI 1730785205
Sold to, 2021-01-01
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Social Worker
- Albemarle, NC
- NPI 1417090721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332979200000",
"number": "1831132596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N 1ST ST",
"address_2": "SUITE 3",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012819",
"telephone_number": "704-982-1141",
"fax_number": "704-986-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 1ST ST",
"address_2": "SUITE 3",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012819",
"telephone_number": "704-982-1141",
"fax_number": "704-986-3039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF STANLY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF STANLY",
"enumeration_date": "2006-06-13",
"last_updated": "2012-03-29",
"status": "A",
"authorized_official_last_name": "JOYNER",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "704-982-9171",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3407071",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stanly County Home Health Agency",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.