Healthcare Provider Details

I. General information

NPI: 1548964000
Provider Name (Legal Business Name): EFFICIENT1 HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 DALEVIEW PL
GREENSBORO NC
27406-4111
US

IV. Provider business mailing address

PO BOX 16501
GREENSBORO NC
27416-0501
US

V. Phone/Fax

Practice location:
  • Phone: 704-606-5013
  • Fax:
Mailing address:
  • Phone: 704-606-5013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. TAJ YUSEF HUBBARD
Title or Position: OWNER/OPERATOR
Credential:
Phone: 704-606-5013