Provider Demographics
NPI:1033201223
Name:NEW DIRECTIONS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:NEW DIRECTIONS HOME HEALTH CARE, INC.
Other - Org Name:NEW DIRECTIONS COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:MA MAED, ITFS, QP
Authorized Official - Phone:910-640-3711
Mailing Address - Street 1:P.O. BOX 2329
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-9145
Mailing Address - Country:US
Mailing Address - Phone:910-640-3711
Mailing Address - Fax:910-640-3760
Practice Address - Street 1:110 PREMIERE PLZ
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-9145
Practice Address - Country:US
Practice Address - Phone:910-640-3711
Practice Address - Fax:910-640-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2008-08-11
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-09-18
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X, 251C00000X, 251K00000X
NCH2120251E00000X
NCMHL-024-067251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102127Medicaid
NC6111835Medicaid
NC8300296Medicaid
NC8301439Medicaid
NC6005796Medicaid
NC3409387Medicaid
NC6600803Medicaid