=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740405182
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CASHIE HOME CARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2007
-----------------------------------------------------
Last Update Date | 10/11/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 108 N MIDDLE ST
-----------------------------------------------------
City | WINDSOR
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27983-9612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-794-1616
-----------------------------------------------------
Fax | 252-794-1617
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 108 N MIDDLE ST
-----------------------------------------------------
City | WINDSOR
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27983-9612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-794-1616
-----------------------------------------------------
Fax | 252-794-1617
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AGENCY DIRECTOR PRESIDENT
-----------------------------------------------------
Name | KAREN HOGGARD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-794-1616
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | HC3025
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------