Provider Demographics
NPI:1093757759
Name:UNITED HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:UNITED HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-799-0900
Mailing Address - Street 1:412 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-2726
Mailing Address - Country:US
Mailing Address - Phone:252-799-0900
Mailing Address - Fax:252-799-3276
Practice Address - Street 1:412 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2726
Practice Address - Country:US
Practice Address - Phone:252-799-0900
Practice Address - Fax:252-799-3276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2390-3409566251E00000X
NCHC2390-6600964251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409566Medicaid
NC6600964Medicaid