Healthcare Provider Details

I. General information

NPI: 1376872861
Provider Name (Legal Business Name): HEALTH CARE CONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 12/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 WEST ROSEBORO STREET
ROSEBORO NC
28382-9038
US

IV. Provider business mailing address

402 S MAIN ST
RAEFORD NC
28376-3223
US

V. Phone/Fax

Practice location:
  • Phone: 910-525-0300
  • Fax: 910-525-0301
Mailing address:
  • Phone: 910-875-1032
  • Fax: 910-875-1149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC# 2260
License Number StateNC

VIII. Authorized Official

Name: ANTHONY OXENDINE
Title or Position: COO
Credential:
Phone: 910-875-1032