Healthcare Provider Details
I. General information
NPI: 1669707519
Provider Name (Legal Business Name): REFLECTIONS HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2009
Last Update Date: 07/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1275 COLONY DR
NEW BERN NC
28562-4156
US
IV. Provider business mailing address
PO BOX 14972
NEW BERN NC
28561-4972
US
V. Phone/Fax
- Phone: 252-637-4600
- Fax:
- Phone: 252-637-4600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | HC3941 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | HC3941 |
| License Number State | NC |
VIII. Authorized Official
Name:
KIZZY
L
HARGETT
Title or Position: AGENCY DIRECTOR/OWNER
Credential: RN
Phone: 919-522-7351