NPIMap

Organization Active NPI

Diana's Homecare, Inc

  • Community/Behavioral Health Agency
  • Concord, NC
National Provider Identifier
1902333636
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIANA'S HOMECARE, INC
Practice address
616 Samuel Adams Cir SW
Concord, NC 28027-0133
Phone
(704) 456-8389
Fax
(704) 256-9957
NPI assigned
May 12, 2017
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Diana Duncan
Title
Exective Director
Phone
(704) 456-8389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

616 Samuel Adams Cir SW
Concord, NC 28027-0133

Mailing address

2421 Creek Manor Dr
Waxhaw, NC 28173-4106
Phone (704) 456-8389

Other identifiers 1

IdentifierTypeStateIssuer
7806485MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Diana's Homecare Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1902333636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CREEK MANOR DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281734106",
            "telephone_number": "704-456-8389",
            "fax_number": "704-256-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 SAMUEL ADAMS CIR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270133",
            "telephone_number": "704-456-8389",
            "fax_number": "704-256-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA'S HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-456-8389"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806485",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.