Provider Demographics
NPI:1679943674
Name:HEALTHACCESS, INC
Entity Type:Organization
Organization Name:HEALTHACCESS, INC
Other - Org Name:VIDANT HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WYNN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:252-847-2000
Mailing Address - Street 1:PO BOX 8125
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27835-8125
Mailing Address - Country:US
Mailing Address - Phone:252-847-2000
Mailing Address - Fax:252-847-7910
Practice Address - Street 1:750 KENANSVILLE BYP
Practice Address - Street 2:
Practice Address - City:KENANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28349-9064
Practice Address - Country:US
Practice Address - Phone:910-296-0819
Practice Address - Fax:910-296-0482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0053251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408207Medicaid