PROFESSIONAL CARE HOME HEALTH SERVICES (NPI# 1750434635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750434635 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CARE HOME HEALTH SERVICES |
| Practice Address |
2070 Cloverdale Ave. Suite C Winston-salem NC 27103 |
| Practice Telephone | 3367250755 |
| Mailing Telephone | 3367250755 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERESIA MEDLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 7045367326 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | HC2948 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6601252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235396466 | Professional Care Home Health Services | Case Management | 3721 Eastway Dr, Charlotte, NC 28205-6266 | 2008-05-16 |
| 1972656825 | Professional Care Home Health Services | Nurse's Aide | 2070 Cloverdale Ave., Suite C, Winston-salem, NC 27103 | 2007-01-22 |
| 1407878382 | Professional Care Home Health Services | Nurse's Aide | 3126 Milton Rd, Suite 217, Charlotte, NC 28215-3778 | 2006-07-23 |
| 1871745919 | Professional Care Home Health Services | Durable Medical Equipment & Medical Supplies | 3137 Amity Ct, Suite 400, Charlotte, NC 28215-4935 | 2008-10-21 |
| 1245482603 | Professional Care Home Health Services | Nursing Care | 2070 Cloverdale Ave, Suite C, Winston-salem, NC 27103-2503 | 2008-10-16 |
| 1982856340 | Professional Care Home Health Services | Nursing Care | 3137 Amity Court, Suite 400, Charlotte, NC 28215 | 2008-10-16 |
| 1528107414 | Professional Care Home Health Services | Case Manager/Care Coordinator | 3126 Milton Rd, Suite 217, Charlotte, NC 28215-3778 | 2007-02-06 |
| Street Address |
2070 CLOVERDALE AVE. SUITE C |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972656825 | Professional Care Home Health Services | Nurse's Aide | 2070 Cloverdale Ave., Suite C, Winston-salem, NC 27103 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972656825 | Professional Care Home Health Services | Nurse's Aide | 2070 Cloverdale Ave., Suite C, Winston-salem, NC 27103 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245405 | Amanda Lincoln | Nurse's Aide | 244 Audubon Dr Ste 1, Raeford, NC 28376-7269 | 2020-11-04 |
| 1376143214 | Sandra Denise Miles | Nurse's Aide | 4525 Baux Mountain Rd, Winston Salem, NC 27105-2457 | 2020-10-29 |
| 1568069573 | Chloe Clark | Nurse's Aide | 210 Terrys Gap Rd, Fletcher, NC 28732-7530 | 2020-10-02 |
| 1336752328 | Latasha Hicks | Nurse's Aide | 800 Pritchard Avenue Ext, Chapel Hill, NC 27516-1717 | 2020-08-28 |
| 1407473622 | Anita Moss | Nurse's Aide | 15469 Stone Hollow Dr, Huntersville, NC 28078-6151 | 2020-07-03 |
| 1306468202 | Marjorie Hill | Nurse's Aide | 191 Red Gates Ln, Hendersonville, NC 28792-8020 | 2020-05-13 |
| 1245866078 | Edith Holland Ingram | Nurse's Aide | 3325 Durham Chapel Hill Blvd Ste 230d, Durham, NC 27707-2646 | 2020-03-12 |
| 1861025157 | Bessie A Wilkes | Nurse's Aide | 1410 Barrier Ln, Greenville, NC 27834-4730 | 2020-02-15 |
| 1851923353 | Tonya Rochelle Kent | Nurse's Aide | 314 Beauvue Rd, Elm City, NC 27822-9206 | 2020-02-12 |
| 1336788462 | Nedra Shontrayl Slaughter | Nurse's Aide | 2111 Peace Ln, Burlington, NC 27215-6827 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
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| 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.