Active NPI
Country Home Healthcare LLC
- Adult Care Home Facility
- Concord, NC
National Provider Identifier
1922301969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- HAL 013-039
- Legal business name
- COUNTRY HOME HEALTHCARE LLC
- Practice address
- 2908 Country Home Rd
Concord, NC 28025-7628 - Phone
- (910) 875-4551
- NPI assigned
- Dec 14, 2010
- 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
- Mr. John Leandro
- Title
- Partner
- Phone
- (910) 875-4551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | HAL 013-039 | NC | Primary |
Addresses
Primary practice location
2908 Country Home Rd
Concord, NC 28025-7628
Mailing address
401 N Main St
Raeford, NC 28376-2630
Phone (910) 875-4551
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1922301969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N MAIN ST",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283762630",
"telephone_number": "910-875-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 COUNTRY HOME RD",
"city": "CONCORD",
"state": "NC",
"postal_code": "280257628",
"telephone_number": "910-875-4551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTRY HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "LEANDRO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "910-875-4551",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "HAL 013-039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.