Healthcare Provider Details

I. General information

NPI: 1770574766
Provider Name (Legal Business Name): FIRSTHEALTH OF THE CAROLINAS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 CAMPGROUND RD STE 100
WEST END NC
27376-8987
US

IV. Provider business mailing address

251 CAMPGROUND RD STE 100
WEST END NC
27376-8987
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-2211
  • Fax: 910-255-3715
Mailing address:
  • Phone: 910-295-2211
  • Fax: 910-255-3715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0332
License Number StateNC

VIII. Authorized Official

Name: MICKEY FOSTER
Title or Position: CEO
Credential:
Phone: 910-715-4473