MSA HOME HEALTH AND HOSPICE OF NC INC NPI 1831634179

NPI Information

NPI: 1831634179
Provider Name: MSA HOME HEALTH AND HOSPICE OF NC INC

Doing Business As: MEDI HOME HOSPICE

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

Address:
564 W MCLEAN ST STE B
SAINT PAULS, NC
ZIP 28384
Phone: (910) 671-6842
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MSA HOME HEALTH AND HOSPICE OF NC INC is a hospice care community based in Saint Pauls, NC. MSA HOME HEALTH AND HOSPICE OF NC INC NPI is 1831634179. The provider is registered as an organization entity type.
The provider Is Doing Business As Medi Home Hospice.

The provider's business location address is:

564 W MCLEAN ST STE B
SAINT PAULS, NC
ZIP 28384-421
Phone: (910) 671-6842
Fax: (910) 671-6846

The provider's authorized official is Christina M Jeffcoat .
The authorized official title is Vice President/secretary and has the following contact phone number (803) 957-0500.

The CLIA number assigned to this NPI record is 34D2137179 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2016 and was last updated on 4/28/2023.

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	251G00000X	Hospice Care, Community Based				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	1831634179	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: 5/5/2024

NPI Synchronization or Removal

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