Active NPI
North Carolina Outreach Home Care, LLC
- Community/Behavioral Health Agency
- Arden, NC
National Provider Identifier
1881073377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL-011-323
- Legal business name
- NORTH CAROLINA OUTREACH HOME CARE, LLC
- Practice address
- 7 Glenn Bridge Rd Ste a
Arden, NC 28704-3333 - Phone
- (828) 785-1488
- NPI assigned
- May 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Durbin
- Title
- Chief Quality Officer
- Phone
- (901) 410-9058
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL-011-323 | NC | Primary |
| In Home Supportive Care Agency | 253Z00000X | MHL-011-323 | NC |
Addresses
Primary practice location
7 Glenn Bridge Rd Ste a
Arden, NC 28704-3333
Mailing address
7 Glenn Bridge Rd Ste a
Arden, NC 28704-3333
Phone (828) 785-1488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409530 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- North Carolina Outreach Home Care LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Marion, NC
- NPI 1346399870
-
- Community/Behavioral Health Agency
- Pisgah Forest, NC
- NPI 1124407614
-
- Community/Behavioral Health Agency
- Burnsville, NC
- NPI 1528447000
Locations
7 Glenn Bridge Rd
Ste A
Arden, NC 28704
Phone (828) 684-8399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432857600000",
"number": "1881073377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GLENN BRIDGE RD STE A",
"city": "ARDEN",
"state": "NC",
"postal_code": "287043333",
"telephone_number": "828-785-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 GLENN BRIDGE RD STE A",
"city": "ARDEN",
"state": "NC",
"postal_code": "287043333",
"telephone_number": "828-785-1488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CAROLINA OUTREACH HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-29",
"last_updated": "2015-05-29",
"status": "A",
"authorized_official_last_name": "DURBIN",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "CHIEF QUALITY OFFICER",
"authorized_official_telephone_number": "901-410-9058"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL-011-323",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "MHL-011-323",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409530",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.