GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT


Address: 125 Charles Rollins Road, Henderson, NC 27536-0000
Phone: 2524925831

GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT (NPI# 1275689242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275689242
Entity Type Organization
Organization Name GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT
Other Organization Name GRANVILLE-VANCE HOME HEALTH AGENCY
Practice Address 125 Charles Rollins Road
Henderson
NC 27536-0000
Mailing Address 101 Hunt St
Po Box 367
Oxford
NC 27565-3414
Practice Telephone 2524925831
Mailing Telephone 9196932141
Mailing Fax Number 9196938517
Enumeration Date 2007-01-25
Last Update Date 2011-12-15
Authorized Official Name DR. WILTON RODWELL DRAKE JR. (HEALTH DIRECTOR)
Authorized Official Telephone 96196932141
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251F00000X Home Infusion Agencies
Y 251E00000X Home Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CLIA # 34D1034140 01
NC LICENSE # HC0501 01
NC 3407062 05

Other Provider/Organization Names

Other Name Type Code
Granville-Vance Home Health Agency Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184783409 Granville-vance District Health Department Case Management 101 Hunt Drive, Oxford, NC 27565 2006-12-06
1639179419 Granville-vance District Health Department Home Health 101 Hunt St, Oxford, NC 27565-3414 2005-07-22
1194871970 Granville-vance District Health Department Clinic/Center 101 Hunt St, Oxford, NC 27565-3414 2007-01-26

Office Location

Street Address 125 CHARLES ROLLINS ROAD
City HENDERSON
State NC
Zip Code 27536-0000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952940926 Lane and Associates Xxxvi Dds Pa Dentist 900 South Garnett St., Henderson, NC 27536 2019-12-23
1487012076 Melissa Burroughs Registered Nurse 943-h W. Andrews Avenue, Henderson, NC 27536 2016-02-10
1578949269 Growth Recovery Opportunity & Wellness Community/Behavioral Health 804 South Garnett St, Henderson, NC 27536 2015-08-04
1003290297 Saintpaulhealthcarept, Inc. Home Health 839 E Montgomery St, Henderson, NC 27536 2015-07-17
1518369859 Kristina Thornton Pharmacist 200 North Cooper Road, Henderson, NC 27536 2014-09-18
1306285135 Green Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 429 Sunnyview Road, Henderson, NC 27536 2013-06-14
1760820278 Innovative Health Services In Home Supportive Care 1758 Parham Street, Henderson, NC 27536 2013-06-06
1578900015 Frances Veronica Finamore Counselor 710 Parham Street, Henderson, NC 27536 2013-05-23
1952530834 Sucessful Achievements Program Incorporated Driver 133 Us 1 A, Norlina, NC 27536 2009-07-13
1407096100 Recovery Response Center Psychiatric Hospital 300 Parkview Drive, Henderson, NC 27536 2009-02-20
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669093258 At Home Hearing Providers Home Health 2348 Martinique Ave, Henderson, NV 89044-0315 2020-05-05
1003440140 St.agatha Home Health LLC Home Health 11145 S Eastern Ave, Henderson, NV 89052-4384 2020-02-27
1922644962 Dependable Home Health of Nevada LLC Home Health 2625 N Green Valley Pkwy, Henderson, NV 89014-0271 2019-11-25
1811546880 Ellen Dawn Raskin Home Health 3237 Peaceful Shadows Ct, Henderson, NV 89052-4056 2019-09-11
1326508540 Accelcare Home Health LLC Home Health 280 Manzanita Ranch Ln, Henderson, NV 89012-2186 2019-03-22
1790268118 Perly V Gomez Home Health 59 Casa Del Fuego St, Henderson, NV 89012-5648 2018-09-11
1992284574 Primecare Network, Inc. Home Health 312 S Chestnut St Ste 202, Henderson, NC 27536-4270 2018-08-14
1922506658 Sally Ann Curtis Home Health 93 Wagon Box Rd, Henderson, NV 89012-2627 2018-01-29
1164933107 Tender Care Home Health, Inc. Home Health 2471 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-5953 2017-10-17
1780193128 Home Health and Hospice Care, Inc. Home Health 855 S Beckford Dr Ste A, Henderson, NC 27536-5945 2017-09-28
Find all providers in HENDERSON

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City HENDERSON
Zip Code 27536

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Dataset Information

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.

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