PELHAM HOME HEALTH SERVICES, INC. (NPI# 1568603918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568603918 |
| Entity Type | Organization |
| Organization Name | PELHAM HOME HEALTH SERVICES, INC. |
| Other Organization Name | PELHAM HOME HEALTH |
| Practice Address |
1224 Scythia Drive Wilson NC 28793-4748 |
| Mailing Address |
Po Box 9754 Fayetteville NC 28311-9091 |
| Practice Telephone | 2522914984 |
| Practice Fax Number | 2522914985 |
| Mailing Telephone | 9106306757 |
| Mailing Fax Number | 9108849806 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | MILDRED C WILSON (DIRECTOR) |
| Authorized Official Telephone | 9106306757 |
| Authorized Official Credential | RNC,BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC3189 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6601406 | 05 |
| Other Name | Type Code |
|---|---|
| Pelham Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194966440 | Pelham Home Health Services, Inc. | Home Health | 315 W Broad St, Saint Pauls, NC 28384-1535 | 2009-03-17 |
| 1821239179 | Pelham Home Health Services, Inc. | Home Health | 506 E Cumberland St, Dunn, NC 28334-4913 | 2009-03-17 |
| 1730320086 | Pelham Home Health Services, Inc. | Home Health | 2501 Fayetteville St, Sanford, NC 27332-5910 | 2009-03-17 |
| 1013158369 | Pelham Home Health Services, Inc. | Home Health | 949 Country Club Dr, Fayetteville, NC 28301-2907 | 2009-03-17 |
| Street Address |
1224 SCYTHIA DRIVE |
| City | WILSON |
| State | NC |
| Zip Code | 28793-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073619300 | James Wesley Hunt | Counselor | 64e & Howard Gap Road, Hendersonville, NC 28793 | 2006-09-15 |
| 1780026146 | Nanas Assisted Living Facilities | Assisted Living Facility | 1744 Meadowbrook Terrace, Hendersonville, NC 28793-2327 | 2013-07-25 |
| 1538320452 | John Connor Ware | Dentist | 2595 Chimney Rock Rd, Hendersonville, NC 28793-9181 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1114531993 | Pathways Human Services of North Carolina, LLC | Counselor | 2835 Daisy Ln N Ste B, Wilson, NC 27896-6942 | 2020-08-31 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1881203768 | Kristen Edwards Dempsey | Registered Nurse | 4503 Pinehurst Dr N, Wilson, NC 27896-9003 | 2020-07-28 |
| 1255949905 | Caitlin Elizabeth Ciccone | Physical Therapist | 4010 N Lake Creek Dr, Unit C, Wilson, WY 83014-8301 | 2020-07-20 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| Find all providers in WILSON | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1124388350 | Myles Home Health Agency II | Home Health | 4355 Us Highway 264 Alt E, Wilson, NC 27893-7616 | 2012-05-22 |
| 1134457625 | Hand & Hand Home Care LLC | Home Health | 2405 Kauffman Ct E, Wilson, NC 27893-8959 | 2009-11-23 |
| 1184957573 | Kantra Home Health Care, LLC | Home Health | 4450 Riverbirch Rd N, Wilson, NC 27896-8409 | 2009-09-16 |
| 1801002621 | Interim Healthcare - Morris Group Inc | Home Health | 1705 Medical Park Dr W, Wilson, NC 27893-2788 | 2007-05-16 |
| 1154541944 | Good Health Care Professionals, Inc. | Home Health | 182 Redwood St, Wilson, OK 73463-6555 | 2007-04-26 |
| 1336273986 | Action Health Staffing | Home Health | 2000 Nash St N Ste A, Wilson, NC 27893-1724 | 2007-03-15 |
| 1841335940 | Johnson Home Health Care | Home Health | 501 Walton St Sw, Wilson, NC 27893-4636 | 2007-02-20 |
| 1043352883 | Reids Health Care | Home Health | 1502 Nash St N, Wilson, NC 27893-1824 | 2007-02-12 |
| 1629118070 | Brenda Batts | Home Health | 806 Tarboro St W, Suite B1, Wilson, NC 27893-4771 | 2007-02-07 |
| Find all providers in WILSON | ||||
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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.