Healthcare Provider Details

I. General information

NPI: 1578127023
Provider Name (Legal Business Name): HOME HEALTH AND HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 WAYNE MEMORIAL DR
GOLDSBORO NC
27534-1728
US

IV. Provider business mailing address

2402 WAYNE MEMORIAL DR
GOLDSBORO NC
27534-1728
US

V. Phone/Fax

Practice location:
  • Phone: 919-735-1387
  • Fax: 919-853-6022
Mailing address:
  • Phone: 919-735-1387
  • Fax: 919-853-6022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: LORETTA BURTON
Title or Position: DIRECTOR
Credential:
Phone: 919-735-1387