NPIMap

Organization Active NPI

Extended Hearts Home Care, LLC

  • In Home Supportive Care Agency
  • Goldsboro, NC
National Provider Identifier
1871010884
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC1993 Issued in NC
Legal business name
EXTENDED HEARTS HOME CARE, LLC
Practice address
910 E Ash St Ste a
Goldsboro, NC 27530-3855
Phone
(919) 221-1178
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Shameeka Campbell, BSN, RN
Title
Agency Director
Phone
(919) 221-1178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC1993 NC Primary

Addresses

Primary practice location

910 E Ash St Ste a
Goldsboro, NC 27530-3855

Mailing address

910 E Ash St Ste a
Goldsboro, NC 27530-3855
Phone (919) 722-9069

National Provider Directory

National Provider Directory
Tax ID family
Extended Hearts Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1871010884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E ASH ST STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303855",
            "telephone_number": "919-722-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E ASH ST STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303855",
            "telephone_number": "919-221-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HEARTS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHAMEEKA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-221-1178",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC1993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.