Healthcare Provider Details

I. General information

NPI: 1114904653
Provider Name (Legal Business Name): COUNTY OF ONSLOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4955 RICHLANDS HWY
JACKSONVILLE NC
28540-5817
US

IV. Provider business mailing address

234 NW CORRIDOR BLVD
JACKSONVILLE NC
28540-5309
US

V. Phone/Fax

Practice location:
  • Phone: 910-455-2747
  • Fax: 910-455-0781
Mailing address:
  • Phone: 910-455-3404
  • Fax: 910-937-1594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberHC0779
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0779
License Number StateNC

VIII. Authorized Official

Name: MR. KEVIN PATTERSON
Title or Position: CHIEF FINANCE OFFICER
Credential:
Phone: 910-455-3404