Provider Demographics
NPI:1942331418
Name:HOSPICE AND HOME CARE OF ALEXANDER COUNTY INC
Entity Type:Organization
Organization Name:HOSPICE AND HOME CARE OF ALEXANDER COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-632-5026
Mailing Address - Street 1:50 LUCY ECHERD LN
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-3099
Mailing Address - Country:US
Mailing Address - Phone:828-632-5026
Mailing Address - Fax:828-632-3707
Practice Address - Street 1:50 LUCY ECHERD LN
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-3099
Practice Address - Country:US
Practice Address - Phone:828-632-5026
Practice Address - Fax:828-632-3707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0362251G00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3401521Medicaid