Active NPI
Nuelife Health Systems
- Home Health Agency
- Erwin, NC
National Provider Identifier
1982948352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2965
- Legal business name
- NUELIFE HEALTH SYSTEMS
- Practice address
- 200 N 13TH St
19C
Erwin, NC 28339-1700 - Phone
- (910) 230-0555
- NPI assigned
- Nov 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnathaun Lee
- Title
- Owner/Bus. MGR.
- Phone
- (954) 479-9856
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC2965 | NC | Primary |
Addresses
Primary practice location
200 N 13TH St
19C
Erwin, NC 28339-1700
Mailing address
4173 Hearthside Dr
104
Wilmington, NC 28412-8539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC2965 | Other | NC | STATE OF NC |
National Provider Directory
National Provider Directory- Tax ID family
- Nuelife Health Systems
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Erwin, NC
- NPI 1356685788
-
- Home Health Agency
- Wilmington, NC
- NPI 1285974006
Locations
200 N 13th St
Ste 19C
Erwin, NC 28339
Phone (910) 230-0555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353801600000",
"number": "1982948352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4173 HEARTHSIDE DR",
"address_2": "104",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284128539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N 13TH ST",
"address_2": "19C",
"city": "ERWIN",
"state": "NC",
"postal_code": "283391700",
"telephone_number": "910-230-0555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUELIFE HEALTH SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-25",
"last_updated": "2012-11-25",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JOHNATHAUN",
"authorized_official_title_or_position": "OWNER/BUS. MGR.",
"authorized_official_telephone_number": "954-479-9856"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC2965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NC",
"identifier": "HC2965",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erwin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.