MEDICARE: HOME HEALTH CARE CENTER

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336282128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CARE CENTER

Provider Business Mailing Address
First Line	:	330 SILVA TERRA DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28412-2325
Country	:	US
Telephone Number	:	910-262-0566
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 N LAKE PARK BLVD # G
Second Line	:
City	:	CAROLINA BEACH
State	:	NC
Zip	:	28428-4163
Country	:	US
Telephone Number	:	910-262-0566
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. GALE R FINCANNON
Credential	:
Telephone Number	:	910-262-0566

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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Directions to “HOME HEALTH CARE CENTER ” Practice Location

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