NPIMap

Organization Active NPI

At Home Senior Services

  • In Home Supportive Care Agency
  • Fuquay Varina, NC
National Provider Identifier
1992108203
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4684 Issued in NC
Legal business name
AT HOME SENIOR SERVICES
Practice address
1000 N Main St
Suite 219
Fuquay Varina, NC 27526-2056
Phone
(919) 606-1739
NPI assigned
Sep 30, 2014
Organization subpart
Yes
Parent organization
AT HOME SENIOR SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Phillip Morris
Title
President
Phone
(919) 606-1739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4684 NC Primary

Addresses

Primary practice location

1000 N Main St
Suite 219
Fuquay Varina, NC 27526-2056

Mailing address

1000 N Main St
Suite 219
Fuquay Varina, NC 27526-2056
Phone (919) 606-1739

Other names 1

  • HomeChoice Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At Home Senior Services Inc9 organizations share this tax ID, including this one
Part of
At Home Senior Services Inc

Other organizations with this tax ID 8

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

Locations

1000 N Main St
Ste 219
Fuquay Varina, NC 27526
Phone (919) 606-1739

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1992108203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "address_2": "SUITE 219",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262056",
            "telephone_number": "919-606-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "address_2": "SUITE 219",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262056",
            "telephone_number": "919-606-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME SENIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AT HOME SENIOR SERVICES",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-606-1739"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeChoice Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.