Provider Demographics
NPI:1730480955
Name:COMPREHENSIVE HOME CARE, PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE HOME CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILOUGHBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-917-4005
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:PINETOPS
Mailing Address - State:NC
Mailing Address - Zip Code:27864-0532
Mailing Address - Country:US
Mailing Address - Phone:252-827-2300
Mailing Address - Fax:252-827-4054
Practice Address - Street 1:105 SW FIRST ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27864-0000
Practice Address - Country:US
Practice Address - Phone:252-827-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4210251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health