Provider Demographics
NPI:1073516894
Name:HEALTHACCESS, INC.
Entity Type:Organization
Organization Name:HEALTHACCESS, INC.
Other - Org Name:VIDANT HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:HICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-847-7836
Mailing Address - Street 1:PO BOX 8125
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27835-8125
Mailing Address - Country:US
Mailing Address - Phone:252-847-7830
Mailing Address - Fax:252-847-7910
Practice Address - Street 1:1005 W H SMITH BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5052
Practice Address - Country:US
Practice Address - Phone:252-847-7830
Practice Address - Fax:252-847-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHOS0425251G00000X
NCHOS1711251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC001FUOtherPROVIDER NUMBER
NC3411518Medicaid
NC001FUOtherPROVIDER NUMBER