Organization Active NPI

Professional Providers Home Care

  • Home Health Agency
  • Laurinburg, NC
National Provider Identifier
1902948631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1320 Issued in NC
Legal business name
PROFESSIONAL PROVIDERS HOME CARE
Practice address
700 Progress PL # B
Laurinburg, NC 28352-5545
Phone
(910) 276-3350
Fax
(910) 276-4450
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul G Brooks
Title
President
Phone
(910) 276-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1320 NC Primary

Addresses

Primary practice location

700 Progress PL # B
Laurinburg, NC 28352-5545

Mailing address

700 Progress PL # B
Laurinburg, NC 28352-5545
Phone (910) 276-3350

Other identifiers 1

IdentifierTypeStateIssuer
3408637MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Professional Providers Home Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902948631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PROGRESS PL # B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525545",
            "telephone_number": "910-276-3350",
            "fax_number": "910-276-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PROGRESS PL # B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525545",
            "telephone_number": "910-276-3350",
            "fax_number": "910-276-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PROVIDERS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-276-3350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408637",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.