Organization Active NPI

Enhacing Spirits Homecare Agency,Inc

  • Nursing Care Agency
  • Lumberton, NC
National Provider Identifier
1942327150
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC3521 Issued in NC
Legal business name
ENHACING SPIRITS HOMECARE AGENCY,INC
Practice address
801 W 5TH St
Lumberton, NC 28358-5413
Phone
(910) 671-8128
Fax
(910) 671-8130
NPI assigned
Mar 23, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Ms. Lisa Marie Jacobs, RN
Title
Agency Director
Phone
(910) 671-8128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HC3521 NC Primary

Addresses

Primary practice location

801 W 5TH St
Lumberton, NC 28358-5413

Mailing address

801 W 5TH St
Lumberton, NC 28358-5413
Phone (910) 671-8128

Other identifiers 1

IdentifierTypeStateIssuer
6601625MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Enhacing Spirits Homecare Agencyinc2 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.

Locations

801 W 5th St
Lumberton, NC 28358
Phone (910) 671-8128

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1942327150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 5TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585413",
            "telephone_number": "910-671-8128",
            "fax_number": "910-671-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 5TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585413",
            "telephone_number": "910-671-8128",
            "fax_number": "910-671-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHACING SPIRITS HOMECARE AGENCY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "910-671-8128",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC3521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601625",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.