Organization Active NPI

Glenda Liggins

Doing business as Triad Home Health Agency

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1942417605
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GLENDA LIGGINS
Doing business as
Triad Home Health Agency
Practice address
1706 Rayston Dr
Greensboro, NC 27405-5243
Phone
(336) 275-7328
Fax
(336) 272-6359
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Glenda T Liggins
Title
Owner
Phone
(336) 275-7328

Specialties & licenses 1

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

Addresses

Primary practice location

1706 Rayston Dr
Greensboro, NC 27405-5243

Mailing address

1706 Rayston Dr
Greensboro, NC 27405-5243
Phone (336) 275-7328

Other identifiers 1

IdentifierTypeStateIssuer
HCI1626MedicaidNC

Other names 1

  • Triad Home Health Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glenda Liggins2 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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1942417605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 RAYSTON DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055243",
            "telephone_number": "336-275-7328",
            "fax_number": "336-272-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 RAYSTON DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055243",
            "telephone_number": "336-275-7328",
            "fax_number": "336-272-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA LIGGINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "LIGGINS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-275-7328"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCI1626",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.