=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851435671
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | T & C ROBINSON, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2007
-----------------------------------------------------
Last Update Date | 06/27/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14663 HWY 17 N
-----------------------------------------------------
City | HAMPSTEAD
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-270-2226
-----------------------------------------------------
Fax | 910-270-2282
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 814 HOPE MILLS RD
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28304-2223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-860-8898
-----------------------------------------------------
Fax | 910-860-9820
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, DIRECTOR
-----------------------------------------------------
Name | MRS. CHARLOTTE ROBINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 910-860-8898
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC2780
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------