Organization Active NPI

Halikierra Community Services, LLC

Doing business as Halikierra Home Care

  • In Home Supportive Care Agency
  • Goldsboro, NC
National Provider Identifier
1932541950
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HALIKIERRA COMMUNITY SERVICES, LLC
Doing business as
Halikierra Home Care
Practice address
200 W Ash St Ste 101
Goldsboro, NC 27530-3657
Phone
(252) 226-2001
NPI assigned
Jul 18, 2013
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Mr. Michael Scales
Title
Director
Phone
(252) 226-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

200 W Ash St Ste 101
Goldsboro, NC 27530-3657

Mailing address

1316 Laneridge CT
Raleigh, NC 27603-8247
Phone (252) 226-2001

Other identifiers 1

IdentifierTypeStateIssuer
624190200MedicaidNC

Other names 1

  • Halikierra Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Halikierra Community Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

200 W Ash St
Ste 101
Goldsboro, NC 27530

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1932541950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 LANERIDGE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038247",
            "telephone_number": "252-226-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ASH ST STE 101",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303657",
            "telephone_number": "252-226-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIKIERRA COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "SCALES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-226-2001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624190200",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halikierra Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.