MEDICARE: CONTINUUM II HOME CARE & HOSPICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC1209	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750431003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUUM II HOME CARE & HOSPICE, INC.

Provider Business Mailing Address
First Line	:	3391 HENDERSON DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-5231
Country	:	US
Telephone Number	:	910-989-2682
Fax Number	:	910-989-2691

Provider Business Practice Location Address
First Line	:	3391 HENDERSON DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-5231
Country	:	US
Telephone Number	:	910-989-2682
Fax Number	:	910-989-2691

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NORWOOD RANDOLPH UZZELL
Credential	:
Telephone Number	:	252-523-9094

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	12/05/2007

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