NPI 1912040593 · live from the CMS NPI Registry
A Primary Health INC
Home Health in St. Pauls, NC. National Provider Identifier 1912040593, active.
NPI record
| NPI | 1912040593 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 121 B S. 5th Street, St. Pauls, NC 28384 |
| Practice phone | 190-865-8280 |
| Mailing address | 500 Peterson Dr, Lumberton, NC 28358 |
| Enumerated | February 14, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Thad Davis, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | HC3430 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.