Provider Demographics
NPI:1801893649
Name:FIRST HOME HEALTH AND HOSPICE, INC.
Entity type:Organization
Organization Name:FIRST HOME HEALTH AND HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSPETH
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:910-860-4764
Mailing Address - Street 1:235 N MCPHERSON CHURCH RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-4403
Mailing Address - Country:US
Mailing Address - Phone:910-860-4764
Mailing Address - Fax:910-860-1660
Practice Address - Street 1:235 N MCPHERSON CHURCH RD
Practice Address - Street 2:SUITE 210
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4403
Practice Address - Country:US
Practice Address - Phone:910-860-4764
Practice Address - Fax:910-860-1660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0359251G00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408113Medicaid
NC3401541Medicaid
NC3407036Medicaid
NCAN43767650001OtherCIGNA
NC6038882OtherUNITED HEALTHCARE HH
NC6600058Medicaid
NC00745OtherBCBS HOME HEALTH
NC0022GOtherBCBS HOSPICE
NC3408113Medicaid
NC341541Medicare ID - Type UnspecifiedHOSPICE