PROVIDENCE HOME HEALTHCARE COMPANY NPI 1679803100

NPI Information

NPI: 1679803100
Provider Name: PROVIDENCE HOME HEALTHCARE COMPANY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
530 E CENTRAL AVE
MOUNT HOLLY, NC
ZIP 28120
Phone: (704) 820-4582
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PROVIDENCE HOME HEALTHCARE COMPANY is a durable medical equipment medical supplies in Mount Holly, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROVIDENCE HOME HEALTHCARE COMPANY NPI is 1679803100. The provider is registered as an organization entity type.

The provider's business location address is:

530 E CENTRAL AVE
MOUNT HOLLY, NC
ZIP 28120-286
Phone: (704) 820-4582
Fax: (877) 582-3818

The provider's authorized official is Rolando Gutierrez .
The authorized official title is Agency Director and has the following contact phone number (704) 820-4582.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 1/6/2010.

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	332B00000X	Durable Medical Equipment & Medical Supplies		HC3882	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	HC3882	OTHER	NORTH CAROLINA	NC DEPARTMENT OF HEALTH AND HUMAN SERVICES

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: 5/5/2024

NPI Synchronization or Removal

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