Healthcare Provider Details

I. General information

NPI: 1831634179
Provider Name (Legal Business Name): MSA HOME HEALTH AND HOSPICE OF NC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2016
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 W MCLEAN ST STE B
SAINT PAULS NC
28384-1421
US

IV. Provider business mailing address

PO BOX 1928
LEXINGTON SC
29071-1928
US

V. Phone/Fax

Practice location:
  • Phone: 910-671-6842
  • Fax: 910-671-6846
Mailing address:
  • Phone: 803-957-0500
  • Fax: 888-342-6190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA M JEFFCOAT
Title or Position: COO/EXEC VP
Credential:
Phone: 803-957-0500