Provider Demographics
NPI:1811121775
Name:ALL ABOUT PEOPLE HEALTH CARE CENTER INC
Entity type:Organization
Organization Name:ALL ABOUT PEOPLE HEALTH CARE CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGENTINA (TINA)
Authorized Official - Middle Name:C
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-231-6642
Mailing Address - Street 1:PO BOX 12363
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27117-2363
Mailing Address - Country:US
Mailing Address - Phone:336-231-6642
Mailing Address - Fax:336-231-6643
Practice Address - Street 1:8 W 3RD ST
Practice Address - Street 2:STE. 360
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3923
Practice Address - Country:US
Practice Address - Phone:336-231-6642
Practice Address - Fax:336-231-6643
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL ABOUT PEOPLE HEALTH CARE CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-07
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3577251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418557Medicaid