Provider Demographics
NPI:1518001585
Name:PERSONAL HOME CARE SPECIALISTS INC.
Entity Type:Organization
Organization Name:PERSONAL HOME CARE SPECIALISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-207-0040
Mailing Address - Street 1:305 S WALL ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1631
Mailing Address - Country:US
Mailing Address - Phone:919-207-0040
Mailing Address - Fax:919-207-0050
Practice Address - Street 1:305 S WALL ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1631
Practice Address - Country:US
Practice Address - Phone:919-207-0040
Practice Address - Fax:919-207-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC 2059251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health