Healthcare Provider Details
I. General information
NPI: 1184892069
Provider Name (Legal Business Name): INCREASING HOME SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2008
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3824 GOODHOPE LN
HOPE MILLS NC
28348-9652
US
IV. Provider business mailing address
PO BOX 309
HOPE MILLS NC
28348-0309
US
V. Phone/Fax
- Phone: 910-339-1953
- Fax: 910-339-1953
- Phone: 910-339-1953
- Fax: 910-339-1953
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RICKY
BETHEA
Title or Position: OWNER/CEO
Credential:
Phone: 910-286-5674