Healthcare Provider Details

I. General information

NPI: 1730248824
Provider Name (Legal Business Name): VON ARX HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 BRENTWOOD DR N STE H
WILSON NC
27896-1784
US

IV. Provider business mailing address

1805 BRENTWOOD DR N STE H
WILSON NC
27896-1784
US

V. Phone/Fax

Practice location:
  • Phone: 252-243-4020
  • Fax: 252-243-2616
Mailing address:
  • Phone: 252-243-4020
  • Fax: 252-243-2616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2249
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier6600892
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer
# 2
Identifier3409496
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name: MRS. PRESTON OSBORN VONARX
Title or Position: OWNER
Credential:
Phone: 252-243-4020