Healthcare Provider Details

I. General information

NPI: 1366519852
Provider Name (Legal Business Name): HILL HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 N FAYETTEVILLE ST SUITE J
ASHEBORO NC
27203-3971
US

IV. Provider business mailing address

1410 N FAYETTEVILLE ST SUITE J
ASHEBORO NC
27203-3971
US

V. Phone/Fax

Practice location:
  • Phone: 336-626-2418
  • Fax: 336-626-2418
Mailing address:
  • Phone: 336-626-2418
  • Fax: 336-626-2418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHC3078
License Number StateNC

VIII. Authorized Official

Name: MS. CATHY RATLIFF HILL
Title or Position: OWNER
Credential:
Phone: 336-626-2418