Aniya's Heart Home Care Agency, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4555 Issued in NC

Legal business name

ANIYA'S HEART HOME CARE AGENCY, INC.

Practice address

24464 Peacock Rd
Tabor City, NC 28463-7086

Phone

(910) 840-1453

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By 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

Veronica Lucretia Butler, BSN, RN

Title

President/Ceo

Phone

(910) 840-1453

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1932454675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24464 PEACOCK RD",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284637086",
            "telephone_number": "910-840-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24464 PEACOCK RD",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284637086",
            "telephone_number": "910-840-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIYA'S HEART HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "LUCRETIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-840-1453",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Tabor City, NC
• Providers in Tabor City, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.