Healthcare Provider Details

I. General information

NPI: 1558392027
Provider Name (Legal Business Name): UNITED HEARTS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 POST OFFICE DRIVE
MILLERS CREEK NC
28651
US

IV. Provider business mailing address

391 ARBOR GROVE CHURCH RD
MILLERS CREEK NC
28651-9080
US

V. Phone/Fax

Practice location:
  • Phone: 336-667-3434
  • Fax: 336-667-5495
Mailing address:
  • Phone: 336-667-3434
  • Fax: 336-667-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2827
License Number StateNC

VIII. Authorized Official

Name: MRS. DONNA M SPENCER
Title or Position: DIRECTOR
Credential:
Phone: 336-667-3434