NPIMap

Organization Active NPI

Home Life Care Inc

  • In Home Supportive Care Agency
  • Winterville, NC
National Provider Identifier
1871651737
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC2800 Issued in NC
Legal business name
HOME LIFE CARE INC
Practice address
4054 S Memorial Dr
Suite H
Winterville, NC 28590-5839
Phone
(252) 355-1118
Fax
(252) 355-1140
NPI assigned
Dec 4, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Ms. Melissa King
Title
Director
Phone
(252) 332-8265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC2800 NC Primary

Addresses

Primary practice location

4054 S Memorial Dr
Suite H
Winterville, NC 28590-5839

Mailing address

PO Box 1106
Ahoskie, NC 27910-1106
Phone (252) 332-8265

Other identifiers 1

IdentifierTypeStateIssuer
6601193MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Home Life Care Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

4054 S Memorial Dr
Ste H
Winterville, NC 28590
Phone (252) 355-1118

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1871651737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101106",
            "telephone_number": "252-332-8265",
            "fax_number": "252-332-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 S MEMORIAL DR",
            "address_2": "SUITE H",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285905839",
            "telephone_number": "252-355-1118",
            "fax_number": "252-355-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LIFE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-332-8265",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601193",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.