Healthcare Provider Details

I. General information

NPI: 1396693263
Provider Name (Legal Business Name): MOVING FORWARD HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 SUNSET AVE STE A
ROCKY MOUNT NC
27804-3590
US

IV. Provider business mailing address

3208 SUNSET AVE STE A
ROCKY MOUNT NC
27804-3590
US

V. Phone/Fax

Practice location:
  • Phone: 252-544-4157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LEQUETTA RENICA WHITAKER
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 252-544-4157