Provider Demographics
NPI:1710044821
Name:DOWN EAST HEALTH CARE, LLC
Entity Type:Organization
Organization Name:DOWN EAST HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-520-7543
Mailing Address - Street 1:PO BOX 1167
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28503-1167
Mailing Address - Country:US
Mailing Address - Phone:252-520-7543
Mailing Address - Fax:252-520-1917
Practice Address - Street 1:126 WEST LENOIR AVE.
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4312
Practice Address - Country:US
Practice Address - Phone:252-520-7543
Practice Address - Fax:252-520-1917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601090Medicaid