Organization Active NPI

Four H Home Care Agency

  • Home Health Agency
  • Oxford, NC
National Provider Identifier
1902177140
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3419098 Issued in NC
Legal business name
FOUR H HOME CARE AGENCY
Practice address
806 Lewis St Ste F
Oxford, NC 27565-3808
Phone
(919) 603-0661
Fax
(919) 603-1661
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Joan G Hicks
Title
Agency Director/RN
Phone
(919) 603-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3419098 NC Primary

Addresses

Primary practice location

806 Lewis St Ste F
Oxford, NC 27565-3808

Mailing address

806 Lewis Street,
Suite F
Oxford, NC 27565-3808
Phone (919) 603-0661

Other identifiers 1

IdentifierTypeStateIssuer
3419098MedicaidNC

Other names 1

  • Four H Home Care Agency Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Four H Home Care Agency2 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.

Locations

806 Lewis St
Ste F
Oxford, NC 27565
Phone (919) 603-0661

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1902177140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 LEWIS STREET,",
            "address_2": "SUITE F",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653808",
            "telephone_number": "919-603-0661",
            "fax_number": "919-603-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 LEWIS ST STE F",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653808",
            "telephone_number": "919-603-0661",
            "fax_number": "919-603-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR H HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AGENCY DIRECTOR/RN",
        "authorized_official_telephone_number": "919-603-0661"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "3419098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four H Home Care Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.