Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COMMUNITY RESIDENTIAL SUPPORTIVE SERVICE HOME HEALTH INC
Active
Organization
COMMUNITY RESIDENTIAL SUPPORTIVE SERVICE HOME HEALTH INC
Active
Other names
CRSS Home Health Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY WILLIAMS (ADMINISTRATOR)
(910) 658-7586
Entity
Organization
Contact information
Practice address
2929 BREEZEWOOD AVE STE 202, FAYETTEVILLE, NC 28303-5357
(910) 779-2944
Mailing address
2929 BREEZEWOOD AVE STE 202, FAYETTEVILLE, NC 28303-5357
(910) 779-2944
(910) 835-0361
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC2214
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409290
CAP DA
NC
05
—
6600747
—
NC
01
—
6600913
CAP CH
NC
05
—
6600913
—
NC
05
—
HC1972
—
NC
05
—
HC5970
—
NC
05
—
HC6832
—
NC
05
—
HC6940
—
NC
Enumeration date
01/19/2007
Last updated
12/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up