Organization Active NPI

Eastern Homecare Services, Inc.

  • Home Health Agency
  • Goldsboro, NC
National Provider Identifier
1972623593
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1158 Issued in NC
Legal business name
EASTERN HOMECARE SERVICES, INC.
Practice address
315 N Spence Ave
Goldsboro, NC 27534-4346
Phone
(919) 778-8212
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Mr. Maynard Price
Title
President
Phone
(919) 778-8212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1158 NC Primary

Addresses

Primary practice location

315 N Spence Ave
Goldsboro, NC 27534-4346

Mailing address

315 N Spence Ave
Goldsboro, NC 27534-4346
Phone (919) 778-8212

Other identifiers 1

IdentifierTypeStateIssuer
6600267MedicaidNC

National Provider Directory

National Provider Directory

Locations

315 N Spence Ave
Goldsboro, NC 27534
Phone (919) 778-8212

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1972623593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344346",
            "telephone_number": "919-778-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344346",
            "telephone_number": "919-778-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MAYNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-778-8212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600267",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.