Provider Demographics
NPI:1083766265
Name:WELCOME HOME CARE ANGENCY
Entity Type:Organization
Organization Name:WELCOME HOME CARE ANGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-693-8391
Mailing Address - Street 1:PO BOX 1146
Mailing Address - Street 2:
Mailing Address - City:CREEDMOOR
Mailing Address - State:NC
Mailing Address - Zip Code:27522-1146
Mailing Address - Country:US
Mailing Address - Phone:919-528-9476
Mailing Address - Fax:919-528-9478
Practice Address - Street 1:416 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-1146
Practice Address - Country:US
Practice Address - Phone:919-528-9476
Practice Address - Fax:919-528-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health