Provider Demographics
NPI:1326171216
Name:DOWN EAST HEALTH CARE LLC
Entity Type:Organization
Organization Name:DOWN EAST HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:ATTORNEY
Authorized Official - Phone:252-514-4100
Mailing Address - Street 1:1255 COLONY DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4156
Mailing Address - Country:US
Mailing Address - Phone:252-514-4100
Mailing Address - Fax:252-514-4107
Practice Address - Street 1:1255 COLONY DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-4156
Practice Address - Country:US
Practice Address - Phone:252-514-4100
Practice Address - Fax:252-514-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2405251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601088Medicaid