Healthcare Provider Details
I. General information
NPI: 1801893649
Provider Name (Legal Business Name): FIRST HOME HEALTH AND HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2005
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
235 N MCPHERSON CHURCH RD SUITE 210
FAYETTEVILLE NC
28303-4403
US
IV. Provider business mailing address
235 N MCPHERSON CHURCH RD SUITE 210
FAYETTEVILLE NC
28303-4403
US
V. Phone/Fax
- Phone: 910-860-4764
- Fax: 910-860-1660
- Phone: 910-860-4764
- Fax: 910-860-1660
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | HC0359 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | HC0359 |
| License Number State | NC |
VIII. Authorized Official
Name: MRS.
ELIZABETH
HUDSPETH
Title or Position: EXECUTIVE DIRECTOR
Credential: MSN
Phone: 910-860-4764