Provider Demographics
NPI:1922206770
Name:CAROLINA STAFFING & HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CAROLINA STAFFING & HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:UDOCHUKWU
Authorized Official - Last Name:OJIMADU
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:252-237-7898
Mailing Address - Street 1:806 TARBORO ST W
Mailing Address - Street 2:SUITE C
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4771
Mailing Address - Country:US
Mailing Address - Phone:252-237-7898
Mailing Address - Fax:252-237-3315
Practice Address - Street 1:806 TARBORO ST W
Practice Address - Street 2:SUITE C
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4771
Practice Address - Country:US
Practice Address - Phone:252-237-7898
Practice Address - Fax:252-237-3315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3379251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC3379OtherNC LICENSE NUMBER