=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962473942
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOSPICE AND HOME CARE OF ALEXANDER COUNTY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2006
-----------------------------------------------------
Last Update Date | 04/25/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 50 LUCY ECHERD LN
-----------------------------------------------------
City | TAYLORSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28681-3099
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-632-5026
-----------------------------------------------------
Fax | 828-632-3707
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 50 LUCY ECHERD LN
-----------------------------------------------------
City | TAYLORSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28681-3099
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-632-5026
-----------------------------------------------------
Fax | 828-632-3707
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MRS. TONYA W. ROLAND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 828-632-5026
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | HC0362
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------