Provider Demographics
NPI:1528018884
Name:HAYWOOD REGIONAL IN HOME AIDE PROGRAM
Entity Type:Organization
Organization Name:HAYWOOD REGIONAL IN HOME AIDE PROGRAM
Other - Org Name:HAYWOOD REGIONAL MEDICAL CENTER HOME HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR HOME CARE SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-452-8292
Mailing Address - Street 1:560 LEROY GEORGE DR
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-7408
Mailing Address - Country:US
Mailing Address - Phone:828-452-8292
Mailing Address - Fax:
Practice Address - Street 1:560 LEROY GEORGE DR
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-7408
Practice Address - Country:US
Practice Address - Phone:828-452-8292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3407035Medicaid
347035Medicare ID - Type Unspecified