WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC


Address: 126 Executive Dr, Suite 100, Wilkesboro, NC 28697-7571
Phone: 3368183170

WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC (NPI# 1487075149) 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) 1487075149
Entity Type Organization
Organization Name WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC
Practice Address 126 Executive Dr
Suite 100
Wilkesboro
NC 28697-7571
Mailing Address 12900 Foster St
Suite 400
Overland Park
KS 66213-2704
Practice Telephone 3368183170
Enumeration Date 2013-12-26
Last Update Date 2015-05-07
Authorized Official Name MS. RUTH C SCHWARTZ (ASSISTANT SECRETARY)
Authorized Official Telephone 9138142288
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 1487075149 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235546623 Wake Forest Baptist Health Care At Home, LLC Case Management 56 Boone Trail, North Wilkesboro, NC 28659-3515 2014-07-17
1861422990 Wake Forest Baptist Health Care At Home, LLC Home Health 2000 Frontis Plaza Blvd, Suite 303, Winston Salem, NC 27103-5616 2006-07-04
1003236258 Wake Forest Baptist Health Care At Home, LLC Hospice Care, Community Based 126 Executive Dr, Suite 110, Wilkesboro, NC 28697-7571 2014-04-25

Office Location

Street Address 126 EXECUTIVE DR
SUITE 100
City WILKESBORO
State NC
Zip Code 28697-7571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003236258 Wake Forest Baptist Health Care At Home, LLC Hospice Care, Community Based 126 Executive Dr, Suite 110, Wilkesboro, NC 28697-7571 2014-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346679206 Aci Support Specialists Day Training, Developmentally Disabled Services 330 Darnell Lane, Wilkesboro, NC 28697 2013-11-01
1639456676 Strategic Interventions Community/Behavioral Health 176 Rest Home Road, Wilkesboro, NC 28697 2011-11-04
1063703247 Tessa Walter Physical Therapist 371 Old Farms Road, Wilkesboro, NC 28697 2011-04-22
1922242742 Pradip Thakkar, Md Family Medicine 1600 Curtis Bridge Road, Wilkesboro, NC 28697 2009-04-23
1366656746 Khot Medical Clinic Family Medicine 1216 D School St, Wilkesboro, NC 28697 2007-05-09
1295868644 Amy K. Gardner Marriage & Family Therapist 507 Courthouse Drive, Wilkesboro, NC 28697 2007-03-14
1457405854 Appalachian Counseling Counselor 100 North Bridge St, Suite 101, Wilkesboro, NC 28697 2007-01-22
1194893818 Thomas K Mcmahan Md Pa Internal Medicine 1710 Parkwood Drive, Wilkesboro, NC 28697 2006-12-01
1952480246 Walter Clyde Holloway Chiropractor 1240 School Street, Wilkesboro, NC 28697 2006-11-06
1609958750 Wal-mart Stores East, Lp Eyewear Supplier (Equipment, not the service) 1801 Us Hwy 421, Wilkesboro, NC 28697 2006-10-19
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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
1366578221 Accurim Health Care LLC Home Health 4148 W Us Highway 421 Ste B, Wilkesboro, NC 28697-8102 2007-02-26
1205033578 Continuum II Home Health & Hospice, Inc. Home Health 1016 Fletcher St, Wilkesboro, NC 28697-9472 2007-06-29
1376661405 Health Services Unlimited Home Health 507 College St, Wilkesboro, NC 28697-2844 2007-03-27
1386777308 Traditional Living Home Care Home Health 101 W Main St, Wilkesboro, NC 28697-2422 2007-03-13
1942274097 Traditional Living Home Care Inc. Home Health 101 W Main St, Wilkesboro, NC 28697-2422 2006-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245831361 Us Advocate Care LLC Home Health 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 2020-11-04
1376144683 Eminent Caring Hands,llc Home Health 1501 Brookford Rd, Kernersville, NC 27284-9456 2020-11-03
1689275083 Teddy Angels,llc Home Health 2575 Old Glory Rd Ste 620, Clemmons, NC 27012-9636 2020-11-03
1003416496 Healing Heartsnc Home Health 1364 Hwy 211 West, Clarkton, NC 28433 2020-10-27
1467052688 Vital Stability Home Care Services LLC Home Health 10130 Mallard Creek Rd Ste 338, Charlotte, NC 28262-6001 2020-10-27
1073112645 Brothers Helping Hands of Nc Home Health 347 St Thomas Rd, Fayetteville, NC 28311-2966 2020-10-23
1063011724 Andreas Family Services LLC Home Health 9700 Research Dr Ste 135e, Charlotte, NC 28262-8577 2020-10-22
1376140723 A Lending Hand Home Care Services LLC Home Health 1922 S Mlk Jr Dr Ste 203, Winston Salem, NC 27107-1361 2020-10-07
1144827858 Angelic Care Touch Inc Home Health 8601 Six Forks Rd Ste 400478, Raleigh, NC 27615-5276 2020-10-06
1710584529 Christopher Amadi Amadi Home Health 8601 Six Forks Rd Ste 47886016, Raleigh, NC 27615-5276 2020-10-05
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Competitor

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City WILKESBORO
Zip Code 28697

Improve Information

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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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