Organization Active NPI

Eldercare in-Home Care, Inc

  • In Home Supportive Care Agency
  • Wilmington, NC
National Provider Identifier
1922107531
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Feb 24, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.