MEDICARE: CAROLINA EAST HOME CARE & HOSPICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	HC0053	NC

General Provider Information

NPI Number	:	1073507489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA EAST HOME CARE & HOSPICE INC

Provider Business Mailing Address
First Line	:	PO BOX 887
Second Line	:
City	:	KENANSVILLE
State	:	NC
Zip	:	28349-0887
Country	:	US
Telephone Number	:	910-296-0819
Fax Number	:	910-296-0482

Provider Business Practice Location Address
First Line	:	401 N MAIN STREET
Second Line	:
City	:	KENANSVILLE
State	:	NC
Zip	:	28349
Country	:	US
Telephone Number	:	910-296-0819
Fax Number	:	910-296-0482

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. LYNN S HARDY
Credential	:	RN
Telephone Number	:	910-296-0819

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	08/22/2020

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