1386782969 NPI number — SHEETS HOME HEALTH CARE,INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386782969 NPI number — SHEETS HOME HEALTH CARE,INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHEETS HOME HEALTH CARE,INC.
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:
1386782969
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:
404 W DECATUR ST
Provider Second Line Business Mailing Address:
APT 105
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27025-1975
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-464-6752
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
404 W DECATUR ST
Provider Second Line Business Practice Location Address:
APT 105
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27025-1975
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-464-6752
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SHEETS
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
336-464-6752

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  5648 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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