St. Luke Home Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HC3500 Issued in NC

Legal business name

ST. LUKE HOME CARE

Practice address

101 Neville Street
Tarboro, NC 27886-0476

Phone

(252) 823-7175

Fax

(252) 823-6244

NPI assigned

Jun 25, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vera V. Davis, REGISTERED NURSE

Title

Agency Director

Phone

(252) 823-7175

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1841496916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278860476",
            "telephone_number": "252-823-7175",
            "fax_number": "252-823-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NEVILLE STREET",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278860476",
            "telephone_number": "252-823-7175",
            "fax_number": "252-823-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "252-823-7175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601587",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.