Provider Demographics
NPI:1710025374
Name:PEGGY'S HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PEGGY'S HOME HEALTH CARE, INC.
Other - Org Name:PEGGY'S HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:HINES
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-795-5207
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:ROBERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27871-0026
Mailing Address - Country:US
Mailing Address - Phone:252-795-5207
Mailing Address - Fax:252-795-5207
Practice Address - Street 1:413 MODICA STREET
Practice Address - Street 2:
Practice Address - City:ROBERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27871-0026
Practice Address - Country:US
Practice Address - Phone:252-795-5207
Practice Address - Fax:252-795-5207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601255Medicaid