Provider Demographics
NPI:1922141878
Name:FORSYTH ELDERCARE PROFESSIONALS INC
Entity Type:Organization
Organization Name:FORSYTH ELDERCARE PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MEAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-760-5660
Mailing Address - Street 1:1001 S MARSHALL ST STE 41
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-5851
Mailing Address - Country:US
Mailing Address - Phone:336-760-5660
Mailing Address - Fax:336-760-5660
Practice Address - Street 1:1001 S MARSHALL ST STE 41
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-5851
Practice Address - Country:US
Practice Address - Phone:336-760-5660
Practice Address - Fax:336-760-5660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3668251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health