Provider Demographics
NPI:1528197936
Name:LINCOLN COUNTY
Entity Type:Organization
Organization Name:LINCOLN COUNTY
Other - Org Name:LINCOLN COUNTY HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONJI
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-736-8649
Mailing Address - Street 1:206 GAMBLE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-4439
Mailing Address - Country:US
Mailing Address - Phone:704-736-8647
Mailing Address - Fax:704-732-9033
Practice Address - Street 1:206 GAMBLE DR
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-4439
Practice Address - Country:US
Practice Address - Phone:704-736-8647
Practice Address - Fax:704-732-9033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0391251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3407054Medicaid
NC3407054Medicaid