Provider Demographics
NPI:1598823239
Name:FIRST HOME HEALTH AND HOSPICE, INC.
Entity Type:Organization
Organization Name:FIRST HOME HEALTH AND HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUDSPETH
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,MSN
Authorized Official - Phone:910-860-4764
Mailing Address - Street 1:235 N MCPHERSON CHURCH RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-4403
Mailing Address - Country:US
Mailing Address - Phone:910-860-4764
Mailing Address - Fax:910-860-1660
Practice Address - Street 1:235 N MCPHERSON CHURCH RD
Practice Address - Street 2:SUITE 210
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4403
Practice Address - Country:US
Practice Address - Phone:910-860-4764
Practice Address - Fax:910-860-1660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0359251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408113Medicaid