Individual provider Active NPI

Raquel Devonna Turnbull X

  • In Home Supportive Care Agency
  • MC Leansville, NC
National Provider Identifier
1902323074
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
5317 Ian Dr
MC Leansville, NC 27301-8123
Phone
(336) 207-6961
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

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

Addresses

Primary practice location

5317 Ian Dr
MC Leansville, NC 27301-8123

Mailing address

5317 Ian Dr
MC Leansville, NC 27301-8123
Phone (336) 207-6961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902323074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 IAN DR",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273018123",
            "telephone_number": "336-207-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 IAN DR",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273018123",
            "telephone_number": "336-207-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBULL",
        "first_name": "RAQUEL",
        "middle_name": "DEVONNA",
        "name_prefix": "Ms.",
        "name_suffix": "X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Leansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.