Provider Demographics
NPI:1780724062
Name:NEW DIRECTIONS HOME HEALTH CARE
Entity type:Organization
Organization Name:NEW DIRECTIONS HOME HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MA ED
Authorized Official - Phone:910-640-3711
Mailing Address - Street 1:1424 S JK POWELL BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-9167
Mailing Address - Country:US
Mailing Address - Phone:910-640-3711
Mailing Address - Fax:910-640-3760
Practice Address - Street 1:332 N BRIGHTLEAF BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4672
Practice Address - Country:US
Practice Address - Phone:910-640-3711
Practice Address - Fax:910-640-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251C00000X, 251E00000X, 251K00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301439HMedicaid
NC89301439BMedicaid
NC8301439Medicaid
NC8301439GMedicaid