Organization Active NPI

Compassion Home Care

  • In Home Supportive Care Agency
  • Wadesboro, NC
National Provider Identifier
1992138952
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4017 Issued in NC
Legal business name
COMPASSION HOME CARE
Practice address
122 A North Rutherford Street
Wadesboro, NC 28170-2131
Phone
(704) 694-2028
Fax
(704) 694-2031
NPI assigned
Aug 14, 2013
Organization subpart
Yes
Parent organization
COMPASSION HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Ella Sturdivant Perry
Title
Agency Director
Phone
(704) 694-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4017 NC Primary

Addresses

Primary practice location

122 A North Rutherford Street
Wadesboro, NC 28170-2131

Mailing address

122 A North Rutherford Street
Wadesboro, NC 28170-2131
Phone (704) 694-2028

Other identifiers 1

IdentifierTypeStateIssuer
3419048MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Compassion Home Care3 organizations share this tax ID, including this one
Part of
Compassion Home Care

Other organizations with this tax ID 2

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

Locations

122 N Rutherford St
#A
Wadesboro, NC 28170
Phone (704) 694-2028

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1992138952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 A NORTH RUTHERFORD STREET",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702131",
            "telephone_number": "704-694-2028",
            "fax_number": "704-694-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 A NORTH RUTHERFORD STREET",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702131",
            "telephone_number": "704-694-2028",
            "fax_number": "704-694-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASSION HOME CARE",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "STURDIVANT",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-694-2028"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419048",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.