Healthcare Provider Details

I. General information

NPI: 1790826451
Provider Name (Legal Business Name): NEW DIRECTIONS HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 PREMIERE PLZ
WHITEVILLE NC
28472-2522
US

IV. Provider business mailing address

110 PREMIERE PLZ
WHITEVILLE NC
28472-2522
US

V. Phone/Fax

Practice location:
  • Phone: 910-640-3711
  • Fax: 910-640-3760
Mailing address:
  • Phone: 910-640-3711
  • Fax: 910-640-3760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: MS. HEIDI YVETTE HERRING
Title or Position: CLINICAL DIRECTOR
Credential: MA, MA ED
Phone: 910-640-3711