NPIMap

Organization Active NPI

Genesis

  • In Home Supportive Care Agency
  • Wilson, NC
National Provider Identifier
1861787905
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4382 Issued in NC
Legal business name
GENESIS
Practice address
1731 Hillcrest Dr W
Wilson, NC 27893-2727
Phone
(252) 373-9601
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Latonya Williams
Title
2ND Owner/ Assistant Director
Phone
(252) 373-9601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4382 NC Primary

Addresses

Primary practice location

1731 Hillcrest Dr W
Wilson, NC 27893-2727

Mailing address

1731 Hillcrest Dr W
Wilson, NC 27893-2727
Phone (252) 373-9601

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1861787905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 HILLCREST DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932727",
            "telephone_number": "252-373-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 HILLCREST DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932727",
            "telephone_number": "252-373-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "2ND OWNER/ ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "252-373-9601"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.