Healthcare Provider Details

I. General information

NPI: 1093757759
Provider Name (Legal Business Name): UNITED HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 07/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 WASHINGTON ST
WILLIAMSTON NC
27892-2726
US

IV. Provider business mailing address

412 WASHINGTON ST
WILLIAMSTON NC
27892-2726
US

V. Phone/Fax

Practice location:
  • Phone: 252-799-0900
  • Fax: 252-799-3276
Mailing address:
  • Phone: 252-799-0900
  • Fax: 252-799-3276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2390-6600964
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2390-3409566
License Number StateNC

VIII. Authorized Official

Name: MRS. CHERYL MERCER
Title or Position: DIRECTOR
Credential:
Phone: 252-799-0900