PROFESSIONAL NURSING SERVICE INC NPI 1669469250

NPI Information

  • NPI: 1669469250
  • Provider Name: PROFESSIONAL NURSING SERVICE, INC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Address: 212 N 35TH ST
    MOREHEAD CITY, NC
    ZIP 28557
  • Phone: (252) 247-6911

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NPI Details

PROFESSIONAL NURSING SERVICE, INC is a home health in Morehead City, NC. The provider is 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. PROFESSIONAL NURSING SERVICE, INC NPI is 1669469250. The provider is registered as an organization entity type.

The provider's business location address is:

212 N 35TH ST
MOREHEAD CITY, NC
ZIP 28557-104
Phone: (252) 247-6911
Fax: (252) 247-1034

The provider's authorized official is Betty Woolard Wallace .
The authorized official title is Ceo/owner and has the following contact phone number (252) 247-6911.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 1/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthHC1437NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13408380MEDICAIDNORTH CAROLINA
26600178MEDICAIDNORTH CAROLINA
36600179MEDICAIDNORTH CAROLINA
46600207MEDICAIDNORTH CAROLINA
56800356MEDICAIDNORTH CAROLINA
63407219MEDICAIDNORTH CAROLINA
76600180MEDICAIDNORTH CAROLINA
86600495MEDICAIDNORTH CAROLINA
97100078MEDICAIDNORTH CAROLINA
107701469MEDICAIDNORTH CAROLINA
110867980004MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINADURABLE MED EQUIP & SUPPL
12347219MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAHOME HEALTH
137100073MEDICAIDNORTH CAROLINA
146800227MEDICAIDNORTH CAROLINA
156800226MEDICAIDNORTH CAROLINA
167100074MEDICAIDNORTH CAROLINA
17720297VMEDICAIDNORTH CAROLINA
186800224MEDICAIDNORTH CAROLINA
196800225MEDICAIDNORTH CAROLINA
207100075MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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