Organization Active NPI

Carolina-Anson Healthcare Incorporated

  • Home Health Agency
  • Wadesboro, NC
National Provider Identifier
1972677797
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1119 Issued in NC
Legal business name
CAROLINA-ANSON HEALTHCARE INCORPORATED
Practice address
500 Morven Rd
Wadesboro, NC 28170-2745
Phone
(704) 694-5131
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. Fred G. Thompson, PHD
Title
Ceo
Phone
(704) 695-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1119 NC Primary

Addresses

Primary practice location

500 Morven Rd
Wadesboro, NC 28170-2745

Mailing address

500 Morven Rd
Wadesboro, NC 28170-2745
Phone (704) 694-5131

Other identifiers 2

IdentifierTypeStateIssuer
6600539MedicaidNC
3408869MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1972677797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MORVEN RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702745",
            "telephone_number": "704-694-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MORVEN RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702745",
            "telephone_number": "704-694-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA-ANSON HEALTHCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-695-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600539",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408869",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.