Enoch Group Home

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENOCH GROUP HOME

Practice address

2310 Hyde St
Burlington, NC 27217-3073

Phone

(336) 327-8112

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Candice Herbin

Title

Program Director

Phone

(336) 327-8112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1912418161",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "909 INGLE STREET",
            "city": "GIBSONVILLE",
            "state": "NORTH CAROLINA",
            "postal_code": "27249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HYDE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173073",
            "telephone_number": "336-327-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOCH GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "HERBIN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "336-327-8112"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowerment for S.T.a.R.S, LLC
• En Route Transit LLC
• Endless Possibilities Academy, LLC
• Enoch Group Home
• Enoch Group Home
• Valerie Thompson Enoch, BA,QP
• Lakeshia Antoinette Entzminger, M.D.
• Lorin Erickson, OTR/L
• Errandz for U Inc
• Esoterix Genetic Counseling, LLC

• All providers in Burlington, NC
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.