Individual provider Active NPI

Iyon Debbie Akhimien, RN

  • In Home Supportive Care Agency
  • Gastonia, NC
National Provider Identifier
1861724593
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4007 Issued in NC
Practice address
703 South Marietta
Gastonia, NC 28052-4337
Phone
(704) 396-6602
Fax
(704) 396-6615
NPI assigned
Feb 5, 2010
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HC4007 NC
In Home Supportive Care Agency 253Z00000X HC4007 NC Primary

Addresses

Primary practice location

703 South Marietta
Gastonia, NC 28052-4337

Mailing address

703 South Marietta
Gastonia, NC 28052-4337
Phone (704) 396-6602

Other identifiers 1

IdentifierTypeStateIssuer
6601980MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
HC4007NCMDNursing Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Healthcare Services, LLC. Nursing Care CurrentSince Sep 5, 2023 Accepting new patients
Apex Healthcare Services, LLC. Nursing Care CurrentSince Sep 5, 2023 Accepting new patients

Locations

2906 Union Rd
Gastonia, NC 28054

703 S Marietta St
Gastonia, NC 28052
Phone (704) 396-6602

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1861724593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 SOUTH MARIETTA",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524337",
            "telephone_number": "704-396-6602",
            "fax_number": "704-396-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 SOUTH MARIETTA",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524337",
            "telephone_number": "704-396-6602",
            "fax_number": "704-396-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHIMIEN",
        "first_name": "IYON",
        "middle_name": "DEBBIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC4007",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601980",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.