Organization Active NPI

G W Home Health Agency Inc

  • Home Health Agency
  • Greenville, NC
National Provider Identifier
1841432804
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3747P1801X Issued in NC
Legal business name
G W HOME HEALTH AGENCY INC
Practice address
313 Clifton Street
Suite A1
Greenville, NC 27858-5008
Phone
(252) 814-3199
Fax
(252) 756-1694
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Connie Gorham
Title
Adminstrative Office Manger/Ceo
Phone
(252) 814-3199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3747P1801X NC Primary

Addresses

Primary practice location

313 Clifton Street
Suite A1
Greenville, NC 27858-5008

Mailing address

313 Clifton St
Suite A1
Greenville, NC 27858-5008
Phone (252) 814-3199

National Provider Directory

National Provider Directory

Locations

313 Clifton St
Ste A1
Greenville, NC 27858
Phone (252) 814-3199

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1841432804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CLIFTON ST",
            "address_2": "SUITE A1",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585008",
            "telephone_number": "252-814-3199",
            "fax_number": "252-756-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CLIFTON STREET",
            "address_2": "SUITE A1",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585008",
            "telephone_number": "252-814-3199",
            "fax_number": "252-756-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G W HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "ADMINSTRATIVE OFFICE MANGER/CEO",
        "authorized_official_telephone_number": "252-814-3199",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "3747P1801X",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 21, 2018; 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.