Provider Demographics
NPI:1750617767
Name:BAILEY HOME CARE INC
Entity type:Organization
Organization Name:BAILEY HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:TORREY
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-352-1695
Mailing Address - Street 1:217 N 5TH AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-4268
Mailing Address - Country:US
Mailing Address - Phone:910-352-1695
Mailing Address - Fax:
Practice Address - Street 1:2822 CASHWELL DR
Practice Address - Street 2:# 257
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4302
Practice Address - Country:US
Practice Address - Phone:910-352-1695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health