Organization Active NPI

Caring Hearts of North Carolina, LLC

  • In Home Supportive Care Agency
  • Burgaw, NC
National Provider Identifier
1962080846
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CARING HEARTS OF NORTH CAROLINA, LLC
Practice address
104 N Dickerson St Ste B
Burgaw, NC 28425-5592
Phone
(910) 305-2140
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Mr. Johnny Bernard Wade
Title
Ceo
Phone
(910) 305-2140

Specialties & licenses 1

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

Addresses

Primary practice location

104 N Dickerson St Ste B
Burgaw, NC 28425-5592

Mailing address

104 N Dickerson St Ste B
Burgaw, NC 28425-5592
Phone (910) 305-2140

National Provider Directory

National Provider Directory

Locations

104 N Dickerson St
Ste B
Burgaw, NC 28425
Phone (910) 305-2140

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1962080846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N DICKERSON ST STE B",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255592",
            "telephone_number": "910-305-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N DICKERSON ST STE B",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255592",
            "telephone_number": "910-305-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-305-2140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.