Organization Active NPI

Triad Home Care

  • Respite Care
  • Greensboro, NC
National Provider Identifier
1841729993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
TRIAD HOME CARE
Practice address
900 Meadowood St # a
Greensboro, NC 27409-2820
Phone
(336) 908-1832
NPI assigned
Jun 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Ibrahim S. KoromaNPI 1750810156
Title
Ceo
Phone
(336) 908-1832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NU Primary

Addresses

Primary practice location

900 Meadowood St # a
Greensboro, NC 27409-2820

Mailing address

900 Meadowood St # a
Greensboro, NC 27409-2820
Phone (336) 908-1832

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841729993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MEADOWOOD ST # A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092820",
            "telephone_number": "336-908-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MEADOWOOD ST # A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092820",
            "telephone_number": "336-908-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-908-1832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.