NPIMap

Organization Active NPI

East Carolina Health - Chowan Inc

  • Home Health Agency
  • Gatesville, NC
National Provider Identifier
1922061027
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1352 Issued in NC
Legal business name
EAST CAROLINA HEALTH - CHOWAN INC
Practice address
714 Main St
Gatesville, NC 27938-9420
Phone
(252) 357-1117
Fax
(252) 357-2139
NPI assigned
Apr 10, 2006
Organization subpart
Yes
Parent organization
EAST CAROLINA HEALTH - CHOWAN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Mr. Jeffrey N. Sackrison
Title
President
Phone
(252) 482-6268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1352 NC Primary

Addresses

Primary practice location

714 Main St
Gatesville, NC 27938-9420

Mailing address

714 Main St
Gatesville, NC 27938-9420
Phone (252) 357-1117

Other identifiers 1

IdentifierTypeStateIssuer
6600626MedicaidNC

Other names 1

  • Chowan Hospital Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Carolina Health - C8 organizations share this tax ID, including this one
Part of
East Carolina Health - C

Other organizations with this tax ID 7

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

Locations

714 Main St
Gatesville, NC 27938
Phone (252) 357-1117

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1922061027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389420",
            "telephone_number": "252-357-1117",
            "fax_number": "252-357-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389420",
            "telephone_number": "252-357-1117",
            "fax_number": "252-357-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH - CHOWAN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CAROLINA HEALTH - CHOWAN INC",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "SACKRISON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-482-6268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600626",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chowan Hospital Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gatesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.