1447983606 NPI number — A-Z HOME HEALTH CARE OF NORTH CAROLINA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447983606 NPI number — A-Z HOME HEALTH CARE OF NORTH CAROLINA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A-Z HOME HEALTH CARE OF NORTH CAROLINA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447983606
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 70
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING LAKE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28390-0070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
984-269-3413
Provider Business Mailing Address Fax Number:
910-436-0268

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
88 MOSBY LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING LAKE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28390-7120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-269-3413
Provider Business Practice Location Address Fax Number:
910-436-0268
Provider Enumeration Date:
07/06/2022

Additional Information

Authorized Official

Authorized Official Last Name:
LANE
Authorized Official First Name:
MCTISA
Authorized Official Middle Name:
MICHELLE
Authorized Official Title or Position:
AGENCY DIRECTOR/ CO-OWNER
Authorized Official Telephone Number:
984-269-3413

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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