1174689772 NPI number — 2UIO HOME HEALTH SERVICES

Table of content: (NPI 1174689772)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174689772 NPI number — 2UIO HOME HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
2UIO HOME HEALTH SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174689772
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 WASHINGTON AVE
Provider Second Line Business Mailing Address:
PO BOX 454
Provider Business Mailing Address City Name:
WELDON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27890-1546
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-536-2730
Provider Business Mailing Address Fax Number:
252-536-2649

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 WASHINGTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WELDON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27890-1546
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-536-2730
Provider Business Practice Location Address Fax Number:
252-536-2649
Provider Enumeration Date:
12/28/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALSTON
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
B
Authorized Official Title or Position:
OWNER OPERATOR REGISTERED NURSE
Authorized Official Telephone Number:
252-536-2730

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HC2206 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 374U00000X , with the licence number: HC2206 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 385HR2060X , with the licence number: HC2206 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6600870 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3409466 . This is a "CAPS PROVIDER NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".