Homechoice of Eastern Carolina, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOMECHOICE OF EASTERN CAROLINA, LLC

Practice address

203 N Jackson St Ste C
Goldsboro, NC 27530-3857

Phone

(919) 583-5040

Fax

(919) 897-8509

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Carol Lyn Brandenburg

Title

Director

Phone

(919) 897-8502

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1972185767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BLUE RIDGE RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128061",
            "telephone_number": "919-897-8502",
            "fax_number": "919-897-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N JACKSON ST STE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303857",
            "telephone_number": "919-583-5040",
            "fax_number": "919-897-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECHOICE OF EASTERN CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-897-8502"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.