Provider Demographics
NPI:1376928846
Name:AHA MOMENT, INC.
Entity Type:Organization
Organization Name:AHA MOMENT, INC.
Other - Org Name:24/7 SENIOR CARE.BIZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFATIR
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-210-1220
Mailing Address - Street 1:295 CARROLL TOWN RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:NC
Mailing Address - Zip Code:27551-9292
Mailing Address - Country:US
Mailing Address - Phone:919-210-1220
Mailing Address - Fax:
Practice Address - Street 1:295 CARROLL TOWN RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:NC
Practice Address - Zip Code:27551-9292
Practice Address - Country:US
Practice Address - Phone:919-210-1220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC=========Medicaid
NC=========Medicaid
NC=========Medicare PIN
NC=========Medicare Oscar/Certification