=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457666141
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A PLUS HOME HEALTH CARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2010
-----------------------------------------------------
Last Update Date | 08/18/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2932 BREEZEWOOD AVE SUITE 211
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28303-5523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-551-3331
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1286
-----------------------------------------------------
City | HOPE MILLS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28348-1286
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-551-3331
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | THERESA ELNORA FRETT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 910-551-3331
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC4153
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------