NORTHEASTERN HOME CARE, INC. (NPI# 1639236193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639236193 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN HOME CARE, INC. |
| Practice Address |
9181 Us 158 Hwy Conway NC 27820 |
| Mailing Address |
9181 Us 158 Hwy Po Box 420 Conway NC 27820 |
| Practice Telephone | 2525850589 |
| Practice Fax Number | 2525850572 |
| Mailing Telephone | 2525850589 |
| Mailing Fax Number | 2525850572 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SENTHIA B. NEWSOME (AGENCY DIRECTOR) |
| Authorized Official Telephone | 2525850589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC2151 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409411 | 05 | |
| NC | 6600823 | 05 |
| Street Address |
9181 US 158 HWY |
| City | CONWAY |
| State | NC |
| Zip Code | 27820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013180934 | Conway-severn Rescue Squad Inc | Ambulance | 113 White Street, Conway, NC 27820 | 2008-04-11 |
| 1700996816 | Clyde Douglas Peedin Jr. | Dentist | 110 Professional Dr, Roanoke Rapids, NC 27820 | 2006-08-30 |
| 1215993563 | Fred E Wier | Surgery | 97 Hwy 125, Roanoke Rapids, NC 27820 | 2006-04-25 |
| 1558507376 | Family & Youth Services Inc. | Case Management | 115 East Main Street, Conway, NC 27820 | 2008-12-29 |
| 1346464617 | Tonya K Archer | Nurse Practitioner | 111 E Main St, Conway, NC 27820 | 2007-04-11 |
| 1730209149 | Family & Youth Service, Inc. | Case Management | 115 East Main St, Conway, NC 27820 | 2007-03-30 |
| 1073663134 | Taylor Drug Company Inc | Pharmacy | 118 E Main St, Conway, NC 27820-0305 | 2007-01-11 |
| 1174543797 | Bio-medical Applications of North Carolina Inc | Clinic/Center | 121 North Church Street, Conway, NC 27820-0325 | 2006-07-19 |
| 1679554604 | Regional In-home Health Care Inc | Nursing Care | 114 E Main St, Conway, NC 27820-0327 | 2005-11-08 |
| 1669687851 | Northampton Family Practice, PC | Clinic/Center | 111 E Main St, Conway, NC 27820-0348 | 2007-05-11 |
| Find all providers in zip 27820 | ||||
| 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 |
|---|---|---|---|---|
| 1710584842 | True Care Home Care LLC | Home Health | 900b Main St Ste 201, Conway, SC 29526-4063 | 2020-10-01 |
| 1659912376 | Diamond Personal Care, Ll | Home Health | 25 Macarthur Dr, Conway, AR 72032-4510 | 2019-10-03 |
| 1538628193 | Jasmine L Gaddy | Home Health | 728 Rose Moss Rd, Conway, SC 29527-3579 | 2019-03-13 |
| 1396261095 | Schha, LLC | Home Health | 1300 Highway 544 Unit F-107, Conway, SC 29526-6592 | 2017-08-15 |
| 1194255315 | Canisha Sharron Rice | Home Health | 1213 Cymmer Ct, Conway, SC 29527-3165 | 2017-06-20 |
| 1982137113 | Comfort Healing | Home Health | 1918a Torreyson St, Conway, AR 72034-6873 | 2017-04-05 |
| 1750735775 | East Coast Nursing Services, LLC | Home Health | 1415 3rd Ave, Suite 102a, Conway, SC 29526-5049 | 2016-04-15 |
| 1669482717 | State of Arkansas | Home Health | 1101 Museum Rd, Suite 7 Faulkner County Health Unit, Conway, AR 72032-4709 | 2006-08-09 |
| 1154340552 | Conway Regional Medical Center Inc | Home Health | 2134 Robinson Ave, Conway, AR 72034-4941 | 2006-07-18 |
| 1730116062 | Atlantic Healthcare Group Inc | Home Health | 911 Creel St, Conway, SC 29527-5001 | 2006-06-26 |
| Find all providers in CONWAY | ||||
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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.