Healthcare Provider Details

I. General information

NPI: 1700723368
Provider Name (Legal Business Name): STICK WITH IT HOME DIALYSIS SUPPORT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 MERRICK WAY
HUBERT NC
28539-3984
US

IV. Provider business mailing address

304 MERRICK WAY
HUBERT NC
28539-3984
US

V. Phone/Fax

Practice location:
  • Phone: 910-330-1247
  • Fax:
Mailing address:
  • Phone: 910-330-1247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ALBERT THOMPSON
Title or Position: OWNER AND OPERATOR
Credential: RN
Phone: 910-330-1247