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Johnston Health Services Corporation

Organization Active NPI Home Health Agency · Smithfield, NC

NPI 1902845928 · NPPES record last updated Jul 31, 2018

Key facts

NPI
1902845928
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HC0383 (NC)
Legal business name
JOHNSTON HEALTH SERVICES CORPORATION
Practice address
514 N Brightleaf Blvd
Suite 1502
Smithfield, NC 27577
Phone
(919) 938-7560
Fax
(919) 989-2129
NPI assigned
Jun 5, 2006
Organization subpart
No

Authorized official

Name
Mr. Edward Alvin Klein
Title
Cfo
Phone
(919) 938-7128

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 44

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 44

Medicare Care Compare: Home health agency

Listed as
Unc Health Johnston Home Care and Hospice CCN 347105
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Government Operated
Certified
Jul 1, 1981
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Home health agency certification: CCN 347105

Legal name
JOHNSTON HEALTH SERVICES CORPORATION
Doing business as
UNC HEALTH JOHNSTON HOME CARE AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1981
Last certification
Oct 10, 2014
Ownership / control type
Government Operated
Organization structure
Corporation · Proprietary
Incorporated
Jul 9, 2013 in NC
Enrollment address
514 N Brightleaf Boulevard
Suite 1502
Smithfield, NC 27577-4686

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Massengill
Individual 		Corporate Director Nov 1, 2020
Patricia Jones
Individual 		Corporate Director
Board Member		 Nov 1, 2020
Kevin Cielinski
Individual 		Corporate Officer
VP Finance		 Apr 3, 2022
Tracey Boykin Carson
Individual 		Corporate Officer
Cno /		 Dec 3, 2025
W-2 Managing Employee Jan 1, 2021
Jeffrey Parlier
Individual 		Corporate Director
Board Member		 Nov 1, 2020
Robert Bradford Oakes
Individual 		Corporate Director
Bod		 Nov 21, 2019
University of North Carolina Health Care System
Organization · Morrisville, NC 		5% Or Greater Direct Ownership Interest Jul 1, 2025 100%
David Mills
Individual 		Corporate Director Nov 15, 2018
Michael Chad Setliff
Individual 		Corporate Director
Board Member		 Nov 21, 2024
Rodney L McCaskill
Individual 		Corporate Officer
Cmo		 Nov 1, 2020
Dennis Koffer
Individual 		Corporate Director
Medical Director		 Feb 1, 2014
Richard Alioto
Individual 		Corporate Director
Board Member		 Oct 1, 2024
Lacey Barnes
Individual 		Corporate Director
Board Member		 Sep 28, 2023
Teddy Gilbert Godwin
Individual 		Corporate Officer
Board of Directors		 Feb 1, 2017
Corporate Director
Board Member		 Jan 18, 2019
Marilyn R Pearson
Individual 		Corporate Director
Board Member		 Mar 22, 2018
Benjamin J Mathew
Individual 		Corporate Director
Board Member- Unc Health		 Feb 1, 2023
Tommy Williams
Individual 		Corporate Officer
Bod		 Dec 12, 2019
Hasan Ahmad Baloch
Individual 		Corporate Director
Board Member		 Nov 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140425000631 NC Part a Provider - Home Health Agency 2163655283 Practice locations: Smithfield, NC

National Provider Directory

Tax ID family
Johnston Health Services Corporation (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0383 NC Yes

Addresses

Primary practice location

514 N Brightleaf Blvd
Suite 1502
Smithfield, NC 27577

Mailing address

509 N Brightleaf Blvd
Attn: Eddie Klein, Cfo
Smithfield, NC 27577-4407
Phone (919) 938-7128

Other names

  • Johnston Health Home Care and Hospice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2018.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1902845928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "address_2": "ATTN: EDDIE KLEIN, CFO",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-938-7128",
            "fax_number": "919-989-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N BRIGHTLEAF BLVD",
            "address_2": "SUITE 1502",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-938-7560",
            "fax_number": "919-989-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-938-7128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Health Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnston Health Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

All providers in Smithfield, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.