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1871912691 NPI number — INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC

NPI Number: 1871912691
Health Care Provider/Practitioner: INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC

Information about “1871912691” NPI (INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC) exists in 1871912691 in HTML format HTML  |  1871912691 in plain Text format TXT  |  1871912691 in PDF (Portable Document Format) PDF  |  1871912691 in an XML format XML  formats.

NPI Number : 1871912691 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871912691",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2249",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITEVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28472-7249",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-642-2106",
    "MailingAddressFaxNumber": "910-642-6903",
    "FirstLinePracticeLocationAddress": "1904 GUM BRANCH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28540-4532",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-347-5100",
    "PracticeLocationAddressFaxNumber": "910-939-5170",
    "EnumerationDate": "04/09/2014",
    "LastUpdateDate": "07/04/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BYRD",
    "AuthorizedOfficialFirstName": "DONNA",
    "AuthorizedOfficialMiddleName": "LOU",
    "AuthorizedOfficialTitle": "OWNER/PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "910-642-2106",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "HC4648",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251F00000X",
          "TaxonomyName": "Home Infusion Agency",
          "LicenseNumber": "HC4648",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": "HC4648",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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