Organization Active NPI

Envisionary I-Care

  • Home Health Agency
  • Garner, NC
National Provider Identifier
1891983540
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3085 Issued in NC
Legal business name
ENVISIONARY I-CARE
Practice address
133 US Highway 70 W
Garner, NC 27529-3942
Phone
(919) 661-2338
Fax
(919) 661-7464
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Yvette Lavonne Kennedy, O.D.
Title
Director
Phone
(919) 661-2338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3085 NC Primary

Addresses

Primary practice location

133 US Highway 70 W
Garner, NC 27529-3942

Mailing address

PO Box 2222
Garner, NC 27529-2222
Phone (919) 661-2338

Other identifiers 1

IdentifierTypeStateIssuer
6601334MedicaidNC

Other names 1

  • Home Care Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

133 US 70 Hwy W
Garner, NC 27529
Phone (919) 661-2338

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1891983540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2222",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292222",
            "telephone_number": "919-661-2338",
            "fax_number": "919-661-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 US HIGHWAY 70 W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293942",
            "telephone_number": "919-661-2338",
            "fax_number": "919-661-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONARY I-CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "LAVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-661-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.