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 |
| 1 | 251E00000X | Home Health | | HCO911 | NORTH CAROLINA | Yes |
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 |
| 1 | 347195 | OTHER | NORTH CAROLINA | PARTNERS NTL HLTH PLN |
| 2 | 007CT | OTHER | NORTH CAROLINA | BLUE CROSS BLUE SHIELD NC |
| 3 | 347195 | OTHER | NORTH CAROLINA | UNITED HEALTHCARE |
| 4 | 347195 | OTHER | NORTH CAROLINA | ANTHEM SENIOR ADVANTAGE |
| 5 | 3407195 | MEDICAID | NORTH CAROLINA | |
| 6 | 347195 | OTHER | NORTH CAROLINA | HUMANA INS GOLD CHC MCR |
| 7 | 0007381246 | OTHER | NORTH CAROLINA | AETNA |
| 8 | 152185700 | OTHER | NORTH CAROLINA | US DEPT OF LABOR WC |
| 9 | 347195 | OTHER | NORTH CAROLINA | UNICARE SECURITY CHC MCR |
| 10 | 347195 | OTHER | NORTH CAROLINA | PACIFICARE MCR |
