Healthcare Provider Details

I. General information

NPI: 1083738843
Provider Name (Legal Business Name): CAROLINA NURSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 SUNSET AVE STE C
ROCKY MOUNT NC
27804-3588
US

IV. Provider business mailing address

3204 SUNSET AVE STE C
ROCKY MOUNT NC
27804-3588
US

V. Phone/Fax

Practice location:
  • Phone: 252-443-6800
  • Fax: 252-443-7101
Mailing address:
  • Phone: 252-443-6800
  • Fax: 252-443-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1471
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC4333
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC4333
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC1471
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberHC1471
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHC1471
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberHC1471
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License NumberHC1471
License Number StateNC
# 9
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License NumberHC1471
License Number StateNC
# 10
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC1471
License Number StateNC

VIII. Authorized Official

Name: MARGARET AMY MOORE
Title or Position: OWNER REGISTERED NURSE
Credential:
Phone: 252-443-6800