Organization Active NPI

Semica Parker

Doing business as Superior Home Care Agency

  • Personal Care Attendant
  • Clinton, NC
National Provider Identifier
1841356250
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
HC3154 Issued in NC
Legal business name
SEMICA PARKER
Doing business as
Superior Home Care Agency
Practice address
421 Warsaw Rd
Clinton, NC 28328-3550
Phone
(910) 299-0123
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Miss Semica Nicole Parker
Title
Agency Director
Phone
(910) 299-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X HC3154 NC Primary

Addresses

Primary practice location

421 Warsaw Rd
Clinton, NC 28328-3550

Mailing address

421 Warsaw Rd
Clinton, NC 28328-3550
Phone (910) 299-0123

Other identifiers 1

IdentifierTypeStateIssuer
6601362MedicaidNC

Other names 1

  • Superior Home Care Agency Doing business as

National Provider Directory

National Provider Directory

Locations

421 Warsaw Rd
Clinton, NC 28328
Phone (910) 299-0123

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1841356250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WARSAW RD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283550",
            "telephone_number": "910-299-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 WARSAW RD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283550",
            "telephone_number": "910-299-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMICA PARKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SEMICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "910-299-0123",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601362",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.