Active NPI
Traditional Living Home Care Inc.
- Home Health Agency
- Wilkesboro, NC
National Provider Identifier
1942274097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2784
- Legal business name
- TRADITIONAL LIVING HOME CARE INC.
- Practice address
- 101 W Main St
Wilkesboro, NC 28697-2422 - Phone
- (336) 667-4546
- Fax
- (336) 667-2621
- NPI assigned
- Feb 15, 2006
- 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
- Mrs. Lori R Gaughan
- Title
- Owner
- Phone
- (336) 667-4546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC2784 | NC | Primary |
Addresses
Primary practice location
101 W Main St
Wilkesboro, NC 28697-2422
Mailing address
1550 Overlook Dr
Wilkesboro, NC 28697-2610
Phone (336) 667-6447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601897 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259107200000",
"number": "1942274097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 OVERLOOK DR",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286972610",
"telephone_number": "336-667-6447",
"fax_number": "336-667-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W MAIN ST",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286972422",
"telephone_number": "336-667-4546",
"fax_number": "336-667-2621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRADITIONAL LIVING HOME CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2009-11-25",
"status": "A",
"authorized_official_last_name": "GAUGHAN",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-667-4546",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC2784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601897",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkesboro, NC
- Amber Taylor, MS, CCC-SLP
- Kenneth Scott Taylor, R.PH.
- Jagruti P Thakkar, DDS
- Thomas K McMahan MD PA
- Traditional Living Home Care
- True Behavioral Healthcare, Inc.
- True Behavioral Healthcare, Inc.
- Turning Point Services, Inc.
- Drena Alice Underdown, LPTA
- Urgent Cares of America North Carolina Inc (Fastmed Urgent Care of Wilkesboro)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.