MALACHI HOME CARE,INC


Address: 200 Valencia Dr, Suite 103, Jacksonville, NC 28546-6311
Phone: 9105398549

MALACHI HOME CARE,INC (NPI# 1477863355) 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) 1477863355
Entity Type Organization
Organization Name MALACHI HOME CARE,INC
Other Organization Name MALACHI HOME CARE, INC
Practice Address 200 Valencia Dr
Suite 103
Jacksonville
NC 28546-6311
Mailing Address Po Box 1733
Jacksonville
NC 28541-1733
Practice Telephone 9105398549
Mailing Telephone 9105398549
Enumeration Date 2010-10-13
Last Update Date 2010-10-13
Authorized Official Name MS. SHANNETTE MONIQUE GRAY (CEO)
Authorized Official Telephone 9105398549
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility NC Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Malachi Home care, Inc Doing Business As Name - Organization

Office Location

Street Address 200 VALENCIA DR
SUITE 103
City JACKSONVILLE
State NC
Zip Code 28546-6311

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982688180 Judith Tart Kettner Counselor 200 Valencia Dr, Suite 109, Jacksonville, NC 28546-7356 2005-12-01
1154797033 Alpha Neurobehavioral Clinic Counselor 200 Valencia Dr, Suite 194, Jacksonville, NC 28546-6311 2015-08-14
1730584244 Refuge Counseling & Consulting Services Community/Behavioral Health 200 Valencia Dr, Jacksonville, NC 28546-6311 2014-10-27
1649514605 Brigita Sunshyne Baumgardner Lcsw Pa Social Worker 200 Valencia Dr, Suite 101, Jacksonville, NC 28546-6311 2012-11-15
1184900805 Wilmina Beaumont Rosario Counselor 200 Valencia Dr, Jacksonville, NC 28546-6311 2011-10-26
1699050971 Golden Gates Homecare Agency, LLC In Home Supportive Care 200 Valencia Dr, Suite 165, Jacksonville, NC 28546-6311 2011-10-18
1235417213 Veronica Weaver Counselor 200 Valencia Dr, Suite 161, Jacksonville, NC 28546-6311 2011-07-25
1528353729 Coastal Neurotherapy, P.a. Clinical Neuropsychologist 200 Valencia Dr, Suite 109, Jacksonville, NC 28546-6311 2011-06-15
1437451747 Michelina H Therrien Lcsw Pa Social Worker 200 Valencia Dr, Suite 101, Jacksonville, NC 28546-6311 2010-11-19
1518190511 Suzan Douville Counselor 200 Valencia Dr, Suite 135, Jacksonville, NC 28546-6311 2009-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
1144757493 Darin Lee Peterson Specialist/Technologist G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 2017-05-17
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568659993 Britthaven, Inc. Nursing Facility/Intermediate Care Facility 1839 Onslow Dr, Jacksonville, NC 28540-5906 2007-10-01
1770581191 Arc of Jacksonville, Ltd Nursing Facility/Intermediate Care Facility 1320 Tendick St, Jacksonville, IL 62650-3121 2005-07-09
1629414479 Kpncinc Nursing Facility/Intermediate Care Facility 764 Aqua Surf Ct, Jacksonville, FL 32225-0802 2013-05-21
1225344518 Care Center of Jacksonville, LLC Nursing Facility/Intermediate Care Facility 1320 Tendick St, Jacksonville, IL 62650-3121 2010-08-24
1154644912 Lp Jacksonville, LLC Nursing Facility/Intermediate Care Facility 2061 Hyde Park Rd, Jacksonville, FL 32210-3815 2010-03-09
1952598385 Britthaven, Inc. Nursing Facility/Intermediate Care Facility 225 White St, Jacksonville, NC 28546-6351 2007-10-01
1972517738 A.r.c. of Jacksonville, Ltd Nursing Facility/Intermediate Care Facility 1320 Tendick St, Jacksonville, IL 62650-3121 2006-07-28
1255328399 Southwood Nursing Center Nursing Facility/Intermediate Care Facility 40 Acme St, Jacksonville, FL 32211-7953 2005-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841617974 Christopher Rushmeyer Nursing Facility/Intermediate Care Facility 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 2014-03-26
1306284674 Legacy Nursing Facility/Intermediate Care Facility 903 W Main Street, Yadkinville, NC 27055 2013-06-10
1194077024 Skill Creations Nursing Facility/Intermediate Care Facility 2101 Royall Ave, Goldsboro, NC 27534-7408 2012-10-02
1093066375 Sci-east Nursing Facility/Intermediate Care Facility 338 Cooper St, Winterville, NC 28590-9507 2012-09-26
1053662437 Skill Creations of Clinton Nursing Facility/Intermediate Care Facility 223 Forest Trail, Clinton, NC 28328-3353 2012-09-26
1821349101 Sci-duplin House Nursing Facility/Intermediate Care Facility 120 Orville Street, Warsaw, NC 28398-2221 2012-09-26
1801147186 Skill Creations of Kenansville Nursing Facility/Intermediate Care Facility 218 S Stokes Street, Kenansville, NC 28349-0001 2012-09-26
1750632030 Sci-coastal House I and II Nursing Facility/Intermediate Care Facility 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 2012-09-26
1760732994 Sci-triangle House II Nursing Facility/Intermediate Care Facility 1523 Tyonek Dr, Durham, NC 27703-5639 2012-09-14
1275883498 Skill Creations of Kinston Nursing Facility/Intermediate Care Facility 901 Doctors Dr, Kinston, NC 28501-1574 2012-09-14
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 28546

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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