Provider Demographics
NPI:1417211541
Name:CARE #1 HOME CARE
Entity Type:Organization
Organization Name:CARE #1 HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:REID
Authorized Official - Last Name:HOUCHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-864-8422
Mailing Address - Street 1:1088 GLEN REILLY DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5623
Mailing Address - Country:US
Mailing Address - Phone:910-864-8422
Mailing Address - Fax:910-630-4247
Practice Address - Street 1:1088 GLEN REILLY DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-5623
Practice Address - Country:US
Practice Address - Phone:910-864-8422
Practice Address - Fax:910-630-4247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4551253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care