First Light Home Care Of Jacksonville

LBN: Hearthside Home Care Inc
First Light Home Care Of Jacksonville is an health care organization with primary practice located at 308 Pomona Dr Ste Jkl , Greensboro NC 27407-1665. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Hearthside Home Care Inc can be contacted via phone (336) 808-1351, or through Glenn, Tina via phone (336) 455-3176.

Contact Information

Primary practice address
308 Pomona Dr Ste Jkl Greensboro NC 27407-1665
Phone: (336) 808-1351
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Glenn, Tina
Phone: (336) 455-3176

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC1843 North Carolina
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1205937851
LBN Legal business name Hearthside Home Care Inc
DBA Doing business as First Light Home Care Of Jacksonville
Authorized official Glenn, Tina
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jun 13th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205937851 NPPES
North Carolina MEDICAID 3409219

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