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COMMUNITY RESIDENTIAL SUPPORTIVE SERVICE HOME HEALTH INC NPI 1972656577


NPI Information

NPI: 1972656577
Provider Name: COMMUNITY RESIDENTIAL SUPPORTIVE SERVICE HOME HEALTH INC

Doing Business As: CRSS HOME HEALTH INC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
2929 BREEZEWOOD AVE STE 202
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 779-2944
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COMMUNITY RESIDENTIAL SUPPORTIVE SERVICE HOME HEALTH INC is an in home supportive care in Fayetteville, NC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. COMMUNITY RESIDENTIAL SUPPORTIVE SERVICE HOME HEALTH INC NPI is 1972656577. The provider is registered as an organization entity type.
The provider Is Doing Business As Crss Home Health Inc.

The provider's business location address is:

2929 BREEZEWOOD AVE STE 202
FAYETTEVILLE, NC
ZIP 28303-357
Phone: (910) 779-2944

The provider's authorized official is Terry Williams .
The authorized official title is Administrator and has the following contact phone number (910) 658-7586.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 12/6/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthHC2214NORTH CAROLINANo
2253Z00000XIn Home Supportive CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16600913MEDICAIDNORTH CAROLINA
2HC6832MEDICAIDNORTH CAROLINA
36600747MEDICAIDNORTH CAROLINA
4HC5970MEDICAIDNORTH CAROLINA
53409290OTHERNORTH CAROLINACAP DA
66600913OTHERNORTH CAROLINACAP CH
7HC1972MEDICAIDNORTH CAROLINA
8HC6940MEDICAIDNORTH CAROLINA
96600913OTHERNORTH CAROLINACAP CHOICE

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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