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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NC | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Malachi Home care, Inc | Doing Business As Name - Organization |
Street Address |
200 VALENCIA DR SUITE 103 |
City | JACKSONVILLE |
State | NC |
Zip Code | 28546-6311 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
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 |
Find all providers in zip 28546 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | JACKSONVILLE |
Zip Code | 28546 |
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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.