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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
G2 | ========= | 01 | |
G2 | 0078A | 01 | |
NC | 1043243835 | 05 | |
NC | 3407333 | 05 |
Other Name | Type Code |
---|---|
Kindred at Home | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
124 Main St, Pollocksville, NC 285735000 | 2522241012 |
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 |
Street Address |
121 TECHCON WAY |
City | POLLOCKSVILLE |
State | NC |
Zip Code | 28573 |
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 |
Find all providers in zip 28573 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
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] |
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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 |
Find all providers with the same taxonomy |
City | POLLOCKSVILLE |
Zip Code | 28573 |
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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.