Provider Demographics
NPI:1801244322
Name:NCCO HOME CARE LLC
Entity type:Organization
Organization Name:NCCO HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:EIDSCHUN
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:302-456-9904
Mailing Address - Street 1:5145 W WOODMILL DR
Mailing Address - Street 2:SUITE 22
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4067
Mailing Address - Country:US
Mailing Address - Phone:302-456-9904
Mailing Address - Fax:302-691-5666
Practice Address - Street 1:5145 W WOODMILL DR
Practice Address - Street 2:SUITE 22
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4067
Practice Address - Country:US
Practice Address - Phone:302-456-9904
Practice Address - Fax:302-691-5666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPASA-005253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care