Provider Demographics
NPI: | 1548609175 |
---|---|
Name: | VOCA CORPORATION OF NORTH CAROLINA |
Entity Type: | Organization |
Organization Name: | VOCA CORPORATION OF NORTH CAROLINA |
Other - Org Name: | NEW HORIZONS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PROVIDER ENROLLMENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | TIMOTHY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WHOBREY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 502-630-7249 |
Mailing Address - Street 1: | 805 N WHITTINGTON PKWY |
Mailing Address - Street 2: | |
Mailing Address - City: | LOUISVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40222-5186 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 502-394-2100 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 113 W FIRE TOWER RD |
Practice Address - Street 2: | SUITE N |
Practice Address - City: | WINTERVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28590-8377 |
Practice Address - Country: | US |
Practice Address - Phone: | 252-353-2012 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-06-17 |
Last Update Date: | 2020-03-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 253J00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253J00000X | Agencies | Foster Care Agency |