Provider Demographics
NPI:1679884365
Name:SANDHILLS COMFORT CARE IN-HOME PROVIDERS, LLC
Entity Type:Organization
Organization Name:SANDHILLS COMFORT CARE IN-HOME PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-295-2000
Mailing Address - Street 1:850 LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9080
Mailing Address - Country:US
Mailing Address - Phone:910-295-2000
Mailing Address - Fax:910-295-4200
Practice Address - Street 1:850 LINDEN RD
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9080
Practice Address - Country:US
Practice Address - Phone:910-295-2000
Practice Address - Fax:910-295-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4014251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health