Provider Demographics
NPI:1831532852
Name:ALTHA HOME CARE, INC.
Entity type:Organization
Organization Name:ALTHA HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDEN
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:GALE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-483-1146
Mailing Address - Street 1:2223 MURCHISON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-3584
Mailing Address - Country:US
Mailing Address - Phone:910-483-1146
Mailing Address - Fax:910-483-1149
Practice Address - Street 1:2223 MURCHISON RD
Practice Address - Street 2:SUITE A
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3584
Practice Address - Country:US
Practice Address - Phone:910-483-1146
Practice Address - Fax:910-483-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3354251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health