=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811992217
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME NURSING COMPANY, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/14/2005
-----------------------------------------------------
Last Update Date | 12/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1114 E MAIN ST STE 2
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24266-5014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-889-4318
-----------------------------------------------------
Fax | 276-889-0403
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2301 HIGHWAY 1187 STE 203
-----------------------------------------------------
City | MANSFIELD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76063-6139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-539-2427
-----------------------------------------------------
Fax | 817-549-4150
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ANGELA W EDDINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 817-469-6739
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------