NPIMap

Organization Active NPI

Johnston Health Services Corporation

Doing business as Johnston Health Home Care and Hospice

  • Home Health Agency
  • Smithfield, NC
National Provider Identifier
1902845928
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0383 Issued in NC
Legal business name
JOHNSTON HEALTH SERVICES CORPORATION
Doing business as
Johnston Health Home Care and Hospice
Practice address
514 N Brightleaf Blvd
Suite 1502
Smithfield, NC 27577
Phone
(919) 938-7560
Fax
(919) 989-2129
NPI assigned
Jun 5, 2006
Last updated
Jul 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Johnston Health Home Care and Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902845928. Details of each certification follow.

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
CorporationProprietary
Incorporated
Jul 9, 2013 in NC
Enrollment address
514 N Brightleaf Boulevard
Suite 1502
Smithfield, NC 27577-4686

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Unc Health Johnston Home Care and HospiceCCN 347105 · All quality measures
Overall star rating
3.5 of 5
Ownership
Government Operated
Certified
Jul 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Johnston Health Services Corporation5 organizations share this tax ID, including this one

Other organizations with this 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.

Ownership & related parties

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 DirectorBoard Member Nov 1, 2020
Kevin Cielinski Individual Corporate OfficerVP Finance Apr 3, 2022
Tracey Boykin Carson Individual Corporate OfficerCno / Dec 3, 2025
W-2 Managing Employee Jan 1, 2021
Jeffrey Parlier Individual Corporate DirectorBoard Member Nov 1, 2020
Robert Bradford Oakes Individual Corporate DirectorBod 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 DirectorBoard Member Nov 21, 2024
Rodney L McCaskill Individual Corporate OfficerCmo Nov 1, 2020
Dennis Koffer Individual Corporate DirectorMedical Director Feb 1, 2014
Richard Alioto Individual Corporate DirectorBoard Member Oct 1, 2024
Lacey Barnes Individual Corporate DirectorBoard Member Sep 28, 2023
Teddy Gilbert Godwin Individual Corporate OfficerBoard of Directors Feb 1, 2017
Corporate DirectorBoard Member Jan 18, 2019
Marilyn R Pearson Individual Corporate DirectorBoard Member Mar 22, 2018
Benjamin J Mathew Individual Corporate DirectorBoard Member- Unc Health Feb 1, 2023
Tommy Williams Individual Corporate OfficerBod Dec 12, 2019
Hasan Ahmad Baloch Individual Corporate DirectorBoard Member Nov 1, 2025

Owners & managing parties with NPI records 9

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

Facilities with the same owner 43

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

View all 43

Practitioners & affiliated clinicians

Affiliated clinicians 44

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

View all 44

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.