Provider Demographics
NPI:1033863493
Name:OZAH HOME CARE INC
Entity Type:Organization
Organization Name:OZAH HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:OZAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-452-5233
Mailing Address - Street 1:107 SE MAIN ST STE 404
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801-5400
Mailing Address - Country:US
Mailing Address - Phone:252-452-5233
Mailing Address - Fax:252-212-8210
Practice Address - Street 1:107 SE MAIN ST STE 404
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-5400
Practice Address - Country:US
Practice Address - Phone:252-452-5233
Practice Address - Fax:252-212-8210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC6440OtherNC DIVISION OF HEALTH SERVICE REGULATION