Active NPI
Caring Hearts of North Carolina, LLC
- In Home Supportive Care Agency
- Burgaw, NC
National Provider Identifier
1962080846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.