IN HOME HEALTH LLC NPI 1386698199

NPI Information

NPI: 1386698199
Provider Name: IN HOME HEALTH LLC

Doing Business As: PROMEDICA HOSPICE (RALEIGH)

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
4505 FALLS OF NEUSE RD
SUITE 650
RALEIGH, NC
ZIP 27609
Phone: (919) 877-9959
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IN HOME HEALTH LLC is a hospice care community based in Raleigh, NC. IN HOME HEALTH LLC NPI is 1386698199. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Promedica Hospice (raleigh).

The provider's business location address is:

4505 FALLS OF NEUSE RD
SUITE 650
RALEIGH, NC
ZIP 27609-523
Phone: (919) 877-9959
Fax: (919) 235-0770

The provider's authorized official is Martin David Allen .
The authorized official title is Director and has the following contact phone number (419) 252-5734.

The CLIA number assigned to this NPI record is 34D0864188 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0002X	Internal Medicine	Hospice and Palliative Medicine			No
2	251G00000X	Hospice Care, Community Based		HOS2281	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3401587	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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