Healthcare Provider Details

I. General information

NPI: 1588037980
Provider Name (Legal Business Name): MSA HOME HEALTH AND HOSPICE OF NC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1129 HORSESHOE RD
ELIZABETH CITY NC
27909-8507
US

IV. Provider business mailing address

PO BOX 1928
LEXINGTON SC
29071-1928
US

V. Phone/Fax

Practice location:
  • Phone: 252-338-4066
  • Fax: 252-338-4068
Mailing address:
  • Phone: 803-957-0500
  • Fax: 888-342-6190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA M JEFFCOAT
Title or Position: COO/EXEC VP
Credential:
Phone: 803-957-0500