Active NPI
Compassion Home Care
- In Home Supportive Care Agency
- Wadesboro, NC
National Provider Identifier
1992138952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC4017
- 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 CARE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3419048 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Compassion Home Care
- 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.
-
- Home Health Agency
- Wadesboro, NC
- NPI 1114363272
-
- In Home Supportive Care Agency
- Wadesboro, NC
- NPI 1821316795
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.