Healthcare Provider Details

I. General information

NPI: 1093350779
Provider Name (Legal Business Name): FOX HEALTH, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2019
Last Update Date: 05/29/2023
Certification Date: 05/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 REDBRIDGE LN
APEX NC
27502-2495
US

IV. Provider business mailing address

PO BOX 1481
APEX NC
27502-3481
US

V. Phone/Fax

Practice location:
  • Phone: 919-925-4922
  • Fax: 919-925-4923
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SHARLENE TOIRAC
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 919-925-4922