SPC Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4101 Issued in NC

Legal business name

SPC HOME HEALTH LLC

Practice address

4910 Randall Parkway
Wilmington, NC 28403-2827

Phone

(910) 395-8039

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Shakisha Nicole Brewington

Title

Owner/Business Manager

Phone

(910) 658-8525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SPC Home Care Doing business as

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• SPC Home Health LLC

  • In Home Supportive Care Agency
  • Wilmington, NC
  • NPI 1306271812
  NPPES parent name
• SPC Home Health LLC

  • In Home Supportive Care Agency
  • Wilmington, NC
  • NPI 1841625357
  NPPES parent name

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1982924726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3385",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284060385",
            "telephone_number": "910-395-8039",
            "fax_number": "910-395-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 RANDALL PARKWAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032827",
            "telephone_number": "910-395-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPC HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "BREWINGTON",
        "authorized_official_first_name": "SHAKISHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/BUSINESS MANAGER",
        "authorized_official_telephone_number": "910-658-8525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPC Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leta Olivia Spain
• Jessica May Spanton, RBT ASSISTANT
• Bryan Thomas Sparks, PHARMD
• SPC Home Health LLC
• SPC Home Health LLC
• Speak & Play
• Speakeasy Speech Therapy, PLLC
• Meredith Herbert Spear, MSN, AGACNP-BC
• Aniya Spears
• Molly Spears

• Home Health Agency in Wilmington, NC
• Providers in Wilmington, 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 Oct 12, 2012; 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.