MEDICARE: FIRSTHEALTH OF THE CAROLINAS, 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	251E00000X	Home Health Agency	HC0332	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	007AX	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770574766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRSTHEALTH OF THE CAROLINAS, INC

Provider Business Mailing Address
First Line	:	251 CAMPGROUND RD STE 100
Second Line	:
City	:	WEST END
State	:	NC
Zip	:	27376-8987
Country	:	US
Telephone Number	:	910-295-2211
Fax Number	:	910-255-3715

Provider Business Practice Location Address
First Line	:	251 CAMPGROUND RD STE 100
Second Line	:
City	:	WEST END
State	:	NC
Zip	:	27376-8987
Country	:	US
Telephone Number	:	910-295-2211
Fax Number	:	910-255-3715

Authorized Official
Title or Position	:	CEO
Name	:	MICKEY FOSTER
Credential	:
Telephone Number	:	910-715-4473

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	12/09/2024

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