MEDICARE: HENDERSON CARE CENTER 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	310400000X	Assisted Living Facility	HAL-081-010	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	:	1912104423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENDERSON CARE CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 648
Second Line	:	125 HENDERSON CIRCLE
City	:	FOREST CITY
State	:	NC
Zip	:	28043-0648
Country	:	US
Telephone Number	:	828-248-3800
Fax Number	:	828-245-3597

Provider Business Practice Location Address
First Line	:	125 HENDERSON CIR
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-2584
Country	:	US
Telephone Number	:	828-248-3800
Fax Number	:	828-245-3597

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JIM HENDERSON
Credential	:
Telephone Number	:	828-248-3800

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1528903416 — MIRAY HOME HEALTH CARE INC
Practice Location Address:

2723 BLUEFLAG ST
TIPP CITY, OH
45371-2584

Practice Phone: 937-732-3474
Practice Fax:

1558390385 — DONNY L REEVES MD
Practice Location Address:

2328 KNOB CREEK RD , SUITE 506
JOHNSON CITY, TN
37604-2584

Practice Phone: 423-722-1311
Practice Fax: 423-926-0529

1811921000 — UCHENNA KENNEDY OJIAKU MD
Practice Location Address:

24 VIEUX CARRE CT
MISSOURI CITY, TX
77459-2584

Practice Phone: 202-390-7520
Practice Fax:

1245437235 — UTAH PSYCHOLOGICAL CENTER INC.
Practice Location Address:

3970 S 700 E STE 12
SALT LAKE CITY, UT
84107-2584

Practice Phone: 801-263-0800
Practice Fax: 801-263-0901

1124206206 — MRS. HOLLIE MICHELLE TOOLEY MS CCC-SLP
Practice Location Address:

2310 STATE ROUTE 2584
CENTRAL CITY, KY
42330-6277

Practice Phone: 270-525-9506
Practice Fax:

1245531540 — UCHENNA K OJIAKU PA
Practice Location Address:

24 VIEUX CARRE CT
MISSOURI CITY, TX
77459-2584

Practice Phone: 202-390-7520
Practice Fax: 713-583-8803

Directions to “HENDERSON CARE CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.