TAR HEEL HEALTH CARE SERVICES, LLC


Address: 121 Techcon Way, Pollocksville, NC 28573
Phone: 2522241012

TAR HEEL HEALTH CARE SERVICES, LLC (NPI# 1043243835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043243835
Entity Type Organization
Organization Name TAR HEEL HEALTH CARE SERVICES, LLC
Other Organization Name KINDRED AT HOME
Practice Address 121 Techcon Way
Pollocksville
NC 28573
Mailing Address 12900 Foster St Ste 400
Overland Park
KS 66213-2696
Practice Telephone 2522241012
Practice Fax Number 2522240310
Enumeration Date 2006-07-08
Last Update Date 2019-10-11
Authorized Official Name JANET COMBS (ASSISTANT SECRETARY)
Authorized Official Telephone 9138142013
Is Organization Subpart Y
Parent Organization Name GENTIVA HEALTH SERVICES, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
G2 ========= 01
G2 0078A 01
NC 1043243835 05
NC 3407333 05

Other Provider/Organization Names

Other Name Type Code
Kindred at Home Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
124 Main St, Pollocksville, NC 285735000 2522241012

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558391391 Tar Heel Health Care Services, LLC Home Health 2615 Hospital Rd Ste 100, Goldsboro, NC 27534-9424 2006-07-04
1154358596 Tar Heel Health Care Services, LLC Home Health 2111 N Queen St Ste C, Kinston, NC 28501-1647 2006-06-28
1912934845 Tar Heel Health Care Services, LLC Home Health 206 S Turner St, Pink Hill, NC 28572-7880 2006-06-27

Office Location

Street Address 121 TECHCON WAY
City POLLOCKSVILLE
State NC
Zip Code 28573

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548489917 Benjamin Donald Gilmore Physical Therapist 215 Foy St, Pollocksville, NC 28573 2007-04-24
1679623607 Allen Drugs Inc Pharmacy 9026 Highway 17, Pollocksville, NC 28573 2007-01-11
1285722777 Sherry Mattocks Jarman Counselor 10774 Highway 17 South, Pollocksville, NC 28573 2006-10-10
1851385025 Tammy Waits Stimson Nurse Practitioner 137 Medical Ln, Pollocksville, NC 28573 2005-09-02
1245223379 Jerry Donald Day Jr. Physician Assistant 137 Medical Lane, Pollocksville, NC 28573 2005-08-24
1750507786 Shannon Chambers Semple Physician Assistant 137 Medical Lane, Pollocksville, NC 28573 2007-04-18
1487765632 Gerard M Mcphee Radiology 137 Medical Lane, Pollocksville, NC 28573 2006-08-31
1891742763 Brian Averell Psychiatry & Neurology 137 Medical Ln, Pollocksville, NC 28573 2006-05-27
1356336895 Michael E Davis Internal Medicine 137 Medical Lane, Pollocksville, NC 28573 2005-09-12
1013901164 Nicholas Farina Internal Medicine 137 Medical Lane, Pollocksville, NC 28573 2005-09-06
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245831361 Us Advocate Care LLC Home Health 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 2020-11-04
1376144683 Eminent Caring Hands,llc Home Health 1501 Brookford Rd, Kernersville, NC 27284-9456 2020-11-03
1689275083 Teddy Angels,llc Home Health 2575 Old Glory Rd Ste 620, Clemmons, NC 27012-9636 2020-11-03
1003416496 Healing Heartsnc Home Health 1364 Hwy 211 West, Clarkton, NC 28433 2020-10-27
1467052688 Vital Stability Home Care Services LLC Home Health 10130 Mallard Creek Rd Ste 338, Charlotte, NC 28262-6001 2020-10-27
1073112645 Brothers Helping Hands of Nc Home Health 347 St Thomas Rd, Fayetteville, NC 28311-2966 2020-10-23
1063011724 Andreas Family Services LLC Home Health 9700 Research Dr Ste 135e, Charlotte, NC 28262-8577 2020-10-22
1376140723 A Lending Hand Home Care Services LLC Home Health 1922 S Mlk Jr Dr Ste 203, Winston Salem, NC 27107-1361 2020-10-07
1144827858 Angelic Care Touch Inc Home Health 8601 Six Forks Rd Ste 400478, Raleigh, NC 27615-5276 2020-10-06
1710584529 Christopher Amadi Amadi Home Health 8601 Six Forks Rd Ste 47886016, Raleigh, NC 27615-5276 2020-10-05
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Competitor

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City POLLOCKSVILLE
Zip Code 28573

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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