Provider Demographics
NPI:1457648909
Name:CONTINUUM II HOME CARE & HOSPICE, INC.
Entity Type:Organization
Organization Name:CONTINUUM II HOME CARE & HOSPICE, INC.
Other - Org Name:CONTINUUM II HOME CARE & HOSPICE OF PENDER COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-523-9094
Mailing Address - Street 1:14888 US HIGHWAY 17 N
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-3217
Mailing Address - Country:US
Mailing Address - Phone:910-989-2682
Mailing Address - Fax:910-989-2691
Practice Address - Street 1:14888 US HIGHWAY 17 N
Practice Address - Street 2:SUITE 206
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3217
Practice Address - Country:US
Practice Address - Phone:910-989-2682
Practice Address - Fax:910-989-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHOS3242251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3401582Medicaid
NC341582Medicare PIN
NC3401582Medicaid