Healthcare Provider Details

I. General information

NPI: 1104578699
Provider Name (Legal Business Name): HOME FOR GOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 MOUNTAIN VIEW RD
SYLVA NC
28779-9703
US

IV. Provider business mailing address

75 MOUNTAIN VIEW RD
SYLVA NC
28779-9703
US

V. Phone/Fax

Practice location:
  • Phone: 724-880-7684
  • Fax:
Mailing address:
  • Phone: 724-880-7684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MS. CASEY LEE TAYLOR
Title or Position: FOUNDER
Credential: COTA
Phone: 724-880-7684