Provider Demographics
NPI:1528569910
Name:HOME CARE FOR HEROES, LLC
Entity Type:Organization
Organization Name:HOME CARE FOR HEROES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEZMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-641-1178
Mailing Address - Street 1:1308 HIGHCOURT DR APT 202
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-3897
Mailing Address - Country:US
Mailing Address - Phone:919-696-2578
Mailing Address - Fax:
Practice Address - Street 1:1308 HIGHCOURT DR APT 202
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-3897
Practice Address - Country:US
Practice Address - Phone:919-696-2578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health