Organization Active NPI

Nuelife Health Systems

  • Home Health Agency
  • Erwin, NC
National Provider Identifier
1982948352
Registry record updated Nov 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2965 Issued in NC
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

Updated by the provider on Nov 25, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HC2965OtherNCSTATE OF NC

National Provider Directory

National Provider Directory
Tax ID family
Nuelife Health Systems3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.