Provider Demographics
NPI:1912610932
Name:ROCKY MOUNT HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ROCKY MOUNT HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:OYETI
Authorized Official - Middle Name:DANNY
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-904-7240
Mailing Address - Street 1:112 N CIRCLE DR STE D
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2429
Mailing Address - Country:US
Mailing Address - Phone:252-904-7204
Mailing Address - Fax:
Practice Address - Street 1:112 N CIRCLE DR STE D
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2429
Practice Address - Country:US
Practice Address - Phone:252-904-7204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No291U00000XLaboratoriesClinical Medical Laboratory
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)