Illumi-Nation Care Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-033-114 Issued in NC

Legal business name

ILLUMI-NATION CARE HOME

Practice address

7806 Hwy 42 East
Tarboro, NC 27886

Phone

(252) 641-0020

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Mary Elizabeth Hyman, CNA, MT

Title

Owner

Phone

(252) 641-0020

Specialties & licenses 2

Addresses

Tax ID family

Called 2 Care2 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.

• Called 2 Care

  • Adult Care Home Facility
  • Lucama, NC
  • NPI 1548690993
  NPD tax ID

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1891085247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 HWY 42 EAST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "27886",
            "telephone_number": "252-641-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 HWY 42 EAST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "27886",
            "telephone_number": "252-641-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMI-NATION CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-641-0020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA, MT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-033-114",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-033-114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homecare Management Corporation
• Homecare Management Corporation
• Yasin Houbi, M.D.
• Pamela Sue Hughes, PTA
• Carrie D Hyman
• Infinity Agency LLC
• International Health Care
• International Health Care
• J&a Transport
• Kaylee Jackson

• Mental Illness Community Based Residential Treatment Facility in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.