PELHAM HOME HEALTH SERVICES, INC. (NPI# 1730320086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730320086 |
| Entity Type | Organization |
| Organization Name | PELHAM HOME HEALTH SERVICES, INC. |
| Other Organization Name | PELHAM HOME HEALTH |
| Practice Address |
2501 Fayetteville St Sanford NC 27332-5910 |
| Mailing Address |
Po Box 9754 Fayetteville NC 28311-9091 |
| Practice Telephone | 9197180388 |
| Practice Fax Number | 9197180389 |
| Mailing Telephone | 9106306757 |
| Mailing Fax Number | 9108849806 |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |
| 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 | HC2838 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6601211 | 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 |
| 1568603918 | Pelham Home Health Services, Inc. | Home Health | 1224 Scythia Drive, Wilson, NC 28793-4748 | 2009-03-16 |
| 1013158369 | Pelham Home Health Services, Inc. | Home Health | 949 Country Club Dr, Fayetteville, NC 28301-2907 | 2009-03-17 |
| Street Address |
2501 FAYETTEVILLE ST |
| City | SANFORD |
| State | NC |
| Zip Code | 27332-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| Find all providers in zip 27332 | ||||
| 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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| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1245626316 | Great Bay Services | Home Health | 61 Washington St Ste 4, Sanford, ME 04073-3093 | 2015-04-15 |
| 1164866711 | Seminole Support Services | Home Health | 504 S Sanford Ave, Sanford, FL 32771-1973 | 2013-04-25 |
| 1023357183 | Seminole Health Care LLC | Home Health | 120 Lexington Green Ln, Sanford, FL 32771-1025 | 2013-02-11 |
| 1760735260 | Independent Community Living | Home Health | 5630 N Easy St, Sanford, MI 48657-9310 | 2012-10-21 |
| 1770859852 | Legacy Health Care | Home Health | 305 W Williams St, Sanford, NC 27332-6047 | 2012-03-22 |
| 1750515797 | Gentle Touch Home Care | Home Health | 703 S Horner Blvd Ste D, Sanford, NC 27330-4870 | 2009-05-05 |
| 1841329513 | K and L Therapy Inc. | Home Health | 308 Casa Marina Pl, Sanford, FL 32771-5228 | 2007-03-05 |
| Find all providers in SANFORD | ||||
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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.