1952794166 NPI number — HARRIS HOME CARE, INC

Table of content: (NPI 1952794166)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952794166 NPI number — HARRIS HOME CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARRIS HOME 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:
1952794166
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 E MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOREST CITY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28043-3101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-245-5244
Provider Business Mailing Address Fax Number:
828-245-5247

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOREST CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28043-3101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-245-5244
Provider Business Practice Location Address Fax Number:
828-245-5247
Provider Enumeration Date:
03/12/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BLANTON
Authorized Official First Name:
LISA
Authorized Official Middle Name:
GIBSON
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
828-245-5244

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  HC2839 , 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)

  • Identifier: 1952794166 . This is a "VA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com