Active NPI
Eldercare in-Home Care, Inc
- In Home Supportive Care Agency
- Wilmington, NC
National Provider Identifier
1922107531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ELDERCARE IN-HOME CARE, INC
- Practice address
- 3408 Wilshire Blvd Ste 100B
Wilmington, NC 28403-4340 - Phone
- (910) 395-5003
- Fax
- (910) 392-6076
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie L Fortin
- Title
- Director of Accounting & HR
- Phone
- (910) 332-2346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3408 Wilshire Blvd Ste 100B
Wilmington, NC 28403-4340
Mailing address
1003 Olde Waterford Way Ste 2C
Leland, NC 28451-4168
Phone (910) 332-2346
National Provider Directory
National Provider DirectoryLocations
3408 Wilshire Blvd
Ste 100B
Wilmington, NC 28403
Phone (910) 395-5003
5003 Randall Pkwy
Wilmington, NC 28403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1922107531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 OLDE WATERFORD WAY STE 2C",
"city": "LELAND",
"state": "NC",
"postal_code": "284514168",
"telephone_number": "910-332-2346",
"fax_number": "910-371-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 WILSHIRE BLVD STE 100B",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034340",
"telephone_number": "910-395-5003",
"fax_number": "910-392-6076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDERCARE IN-HOME CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "FORTIN",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING & HR",
"authorized_official_telephone_number": "910-332-2346"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.