Classic Care Cap Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3217 Issued in NC

Legal business name

CLASSIC CARE CAP SERVICES

Practice address

780 NW Broad St
Suite 300
Southern Pines, NC 28387-4102

Phone

(910) 692-1006

Fax

(910) 692-1007

NPI assigned

May 11, 2009

Organization subpart

Yes

Parent organization

CLASSIC CARE HOME CARE AGENCY, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Merva A McKinney, RN

Title

Owner

Phone

(910) 692-1006

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Classic Care Home Care2 organizations share this tax ID, including this one

Part of

Classic Care Home Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Classic Care Home Care

  • Home Health Agency
  • West End, NC
  • NPI 1275604134
  NPD tax ID

Locations

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1982838595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651",
            "address_2": "108 ARROWLEAF LANE",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273760651",
            "telephone_number": "910-235-9009",
            "fax_number": "910-235-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NW BROAD ST",
            "address_2": "SUITE 300",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874102",
            "telephone_number": "910-692-1006",
            "fax_number": "910-692-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE CAP SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLASSIC CARE HOME CARE AGENCY, LLC",
        "enumeration_date": "2009-05-11",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "MERVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-692-1006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418105",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina L. Powers, DDS, PLLC
• Justin Clark, BA HISTORY
• Kevin Lee Clark Jr., LCAS-A
• Timothy Hall Clark, RPH
• Kathleen M. Clarke-Pearson, M.D.
• CNC / Access, Inc.
• Coastal Horizons Center
• Coastal Horizons Center Inc
• Madison Gray Cobb, FNP
• Ashley Sue Cochran, FNP-C

• Home Health Agency in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.