Organization Active NPI

Surecare Homecare

  • In Home Supportive Care Agency
  • Rocky Mount, NC
National Provider Identifier
1972229631
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SURECARE HOMECARE
Practice address
819 W Raleigh Blvd
Rocky Mount, NC 27803-2764
Phone
(908) 249-1334
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Zenobia Smith Brack, RN
Title
Owner
Phone
(908) 249-1334

Specialties & licenses 1

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

Addresses

Primary practice location

819 W Raleigh Blvd
Rocky Mount, NC 27803-2764

Mailing address

819 W Raleigh Blvd
Rocky Mount, NC 27803-2764
Phone (919) 879-3132

National Provider Directory

National Provider Directory

Locations

819 W Raleigh Blvd
Rocky Mount, NC 27803
Phone (908) 249-1334

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1972229631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W RALEIGH BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032764",
            "telephone_number": "919-879-3132",
            "fax_number": "919-585-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W RALEIGH BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032764",
            "telephone_number": "908-249-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURECARE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "BRACK",
        "authorized_official_first_name": "ZENOBIA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-249-1334",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.