Provider Demographics
NPI:1356641377
Name:EAST CAROLINA HOME CARE
Entity Type:Organization
Organization Name:EAST CAROLINA HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:III
Authorized Official - Credentials:MBA, CPA
Authorized Official - Phone:252-451-1333
Mailing Address - Street 1:301 S CHURCH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5750
Mailing Address - Country:US
Mailing Address - Phone:252-451-1333
Mailing Address - Fax:
Practice Address - Street 1:323 CLIFTON ST STE 9
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5053
Practice Address - Country:US
Practice Address - Phone:919-418-7062
Practice Address - Fax:252-321-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care