MEDICARE: FIRST HOME CARE OF NC #2

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1104059294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST HOME CARE OF NC #2

Provider Business Mailing Address
First Line	:	3771 RAMSEY ST STE 109-133
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-7616
Country	:	US
Telephone Number	:	910-213-3050
Fax Number	:	866-406-4630

Provider Business Practice Location Address
First Line	:	3771 RAMSEY ST STE 109-133
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-7616
Country	:	US
Telephone Number	:	910-213-3050
Fax Number	:	866-406-4630

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. WILLIAM I SMITH
Credential	:
Telephone Number	:	919-213-3050

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	08/24/2009

Similar Medicare Providers

1447909049 — BRITNEY PAIGE COLANDREO LCSW
Practice Location Address:

3771 RAMSEY ST STE 109
FAYETTEVILLE, NC
28311-7616

Practice Phone: 301-252-8600
Practice Fax:

1275766362 — FIRST HOME CARE OF NC #2
Practice Location Address:

3771 RAMSEY ST STE 109-133
FAYETTEVILLE, NC
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Practice Fax: 866-406-4630

1831791649 — MRS. BRITTANY HENRICKS LMFTA
Practice Location Address:

3771 RAMSEY ST STE 109 , #392
FAYETTEVILLE, NC
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Practice Phone: 919-351-5071
Practice Fax:

1851807127 — RYAN CARL JOHNSON DPT
Practice Location Address:

6000 RAMSEY ST STE 108
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1811848476 — NATALIE VOLLENDORF
Practice Location Address:

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Practice Fax:

1275030272 — RDL THERAPEUTIC OUTPATIENT THERAPY
Practice Location Address:

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Directions to “FIRST HOME CARE OF NC #2 ” Practice Location

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