Provider Demographics
NPI:1871501809
Name:HOSPICE OF WAKE COUNTY, INC.
Entity Type:Organization
Organization Name:HOSPICE OF WAKE COUNTY, INC.
Other - Org Name:HORIZONS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE AND OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-828-0890
Mailing Address - Street 1:250 HOSPICE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6372
Mailing Address - Country:US
Mailing Address - Phone:919-828-0890
Mailing Address - Fax:
Practice Address - Street 1:250 HOSPICE CIRCLE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6372
Practice Address - Country:US
Practice Address - Phone:919-828-0890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0031251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3407186Medicaid
NC6053653OtherUNITED HEALTHCARE
NC0074ROtherBLUE CROSS BLUE SHIELD
NC6053653OtherUNITED HEALTHCARE