Eastern Carolina Home Healthcare

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

HC2436 Issued in NC

Legal business name

EASTERN CAROLINA HOME HEALTHCARE

Practice address

13548 Hwy 55 East
Suite B
Bayboro, NC 28515-0402

Phone

(252) 745-8100

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Albertson III

Title

President

Phone

(919) 345-1589

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eastern Carolina Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eastern Carolina Home Healthcare

  • Custodial Care Facility
  • Alliance, NC
  • NPI 1477677169
  NPD tax ID

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932227808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "285150402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13548 HWY 55 EAST",
            "address_2": "SUITE B",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "285150402",
            "telephone_number": "252-745-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-345-1589",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "HC2436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409614",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katlyn Elizabeth Cowell, MS, NCC, LPCA
• Latoya Renee Davis, MSW, LCSW
• Nancie Denise Deckard, FNP-BC
• Ernest C Dunn Jr., MD
• Eastern Carolina Health Resources
• James Michael Egbert Jr., M.D.
• Casey Dawn Elliott, FNP-C
• Stephanie Erickson, LCSW
• Family First Pharmacy Inc (Bayboro Pharmacy)
• Family First Pharmacy Inc (Bayboro Pharmacy)

• Custodial Care Facility in Bayboro, NC
• Providers in Bayboro, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.