Provider Demographics
NPI:1336311034
Name:HEALTH CARE OPTIONS OF THE EAST
Entity Type:Organization
Organization Name:HEALTH CARE OPTIONS OF THE EAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:CHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-482-5561
Mailing Address - Street 1:PO BOX 304
Mailing Address - Street 2:819 N BROAD ST.
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-1431
Mailing Address - Country:US
Mailing Address - Phone:252-482-5561
Mailing Address - Fax:252-482-5062
Practice Address - Street 1:202 C US 13 BYPASS
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983
Practice Address - Country:US
Practice Address - Phone:252-794-8538
Practice Address - Fax:252-794-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2341251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC061436Medicaid
NC6601742Medicaid
NC6601741Medicaid