Organization Active NPI

Country Home Healthcare LLC

  • Adult Care Home Facility
  • Concord, NC
National Provider Identifier
1922301969
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL 013-039 Issued in NC
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

Updated by the provider on Dec 14, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.