Organization Active NPI

Pelhams Compassionate Home Care Agency, Inc

  • Home Health Agency
  • New Bern, NC
National Provider Identifier
1831265099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2802 Issued in NC
Legal business name
PELHAMS COMPASSIONATE HOME CARE AGENCY, INC
Practice address
1425 S Glenburnie Rd Ste 10
New Bern, NC 28562-2610
Phone
(252) 637-0255
Fax
(252) 636-9955
NPI assigned
Nov 28, 2006
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
Mr. Gregory L Pelham
Title
Owner
Phone
(252) 637-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2802 NC Primary

Addresses

Primary practice location

1425 S Glenburnie Rd Ste 10
New Bern, NC 28562-2610

Mailing address

1425 S Glenburnie Rd Ste 10
PO Box 13753
New Bern, NC 28562-2610
Phone (252) 637-0255

Other identifiers 2

IdentifierTypeStateIssuer
3408088MedicaidNC
6601174MedicaidNC

National Provider Directory

National Provider Directory

Locations

1425 S Glenburnie Rd
Ste 10
New Bern, NC 28562
Phone (252) 637-0255

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831265099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S GLENBURNIE RD STE 10",
            "address_2": "PO BOX 13753",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622610",
            "telephone_number": "252-637-0255",
            "fax_number": "252-636-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GLENBURNIE RD STE 10",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622610",
            "telephone_number": "252-637-0255",
            "fax_number": "252-636-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAMS COMPASSIONATE HOME CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELHAM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-637-0255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408088",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601174",
            "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 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.