Provider Demographics
NPI:1639478209
Name:HOME HEALTH CARE OF NORTH CAROLINA
Entity Type:Organization
Organization Name:HOME HEALTH CARE OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-429-3425
Mailing Address - Street 1:5449 TRADE ST
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-1939
Mailing Address - Country:US
Mailing Address - Phone:910-429-3425
Mailing Address - Fax:910-429-3426
Practice Address - Street 1:5449 TRADE ST
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1939
Practice Address - Country:US
Practice Address - Phone:910-429-3425
Practice Address - Fax:910-429-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4309302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization