Provider Demographics
NPI:1942512314
Name:MAGGIE'S HOME HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:MAGGIE'S HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HEADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-786-2739
Mailing Address - Street 1:1232 CONCORD CHASE CIR
Mailing Address - Street 2:1232
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-5192
Mailing Address - Country:US
Mailing Address - Phone:704-786-2739
Mailing Address - Fax:704-786-0437
Practice Address - Street 1:1232 CONCORD CHASE CIR
Practice Address - Street 2:1232
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-5192
Practice Address - Country:US
Practice Address - Phone:704-786-2739
Practice Address - Fax:704-786-0437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health