Provider Demographics
NPI:1245546290
Name:C & S HOME CARE INC
Entity type:Organization
Organization Name:C & S HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:MINOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-756-1205
Mailing Address - Street 1:589B ALMA DR
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-8992
Mailing Address - Country:US
Mailing Address - Phone:252-756-1205
Mailing Address - Fax:
Practice Address - Street 1:589B ALMA DR
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-8992
Practice Address - Country:US
Practice Address - Phone:252-756-1205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4164251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health