NPI Code Details Logo

NPI 1265927719

NPI 1265927719 : ALLIED HOME HEALTH CARE, INC : CHADBOURN, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265927719
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALLIED HOME HEALTH CARE, INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/27/2018
-----------------------------------------------------
    Last Update Date     |    03/23/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    636 N BROWN ST 
-----------------------------------------------------
    City                 |    CHADBOURN
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28431-1306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    910-640-2021
-----------------------------------------------------
    Fax                  |    910-640-2022
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1842 S MADISON ST 
-----------------------------------------------------
    City                 |    WHITEVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28472-4938
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    910-640-2021
-----------------------------------------------------
    Fax                  |    910-640-2022
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF OPERATIONS OFFICER
-----------------------------------------------------
    Name                 |     BRENDA L TEDDER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    910-640-2021
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    HC3687
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.