Healthcare Provider Details

I. General information

NPI: 1467887679
Provider Name (Legal Business Name): HOME CARE SPECIALIST IN THE MOUNTAINS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2013
Last Update Date: 11/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 CUNNINGHAM RD
FRANKLIN NC
28734-7557
US

IV. Provider business mailing address

PO BOX 2234
FRANKLIN NC
28744-2234
US

V. Phone/Fax

Practice location:
  • Phone: 828-349-9500
  • Fax: 828-349-9501
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC4347
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHC4347
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHC4347
License Number StateNC

VIII. Authorized Official

Name: TIFFANY N ELLIOTT
Title or Position: DIRECTOR
Credential:
Phone: 828-349-9500