Organization
HOMEFIRST HEALTHCARE SERVICES, LLC
Active
Other names
Aveanna Heatlhcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (DIRECTOR REGULATORY SERVICES)
(770) 248-8740
Entity
Organization
Contact information
Practice address
805 W. 25TH STREET, NEWTON, NC 28658
(704) 962-5345
(844) 414-3194
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 248-8740
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
HC0092
NC
251J00000X
Nursing Care Agency
Primary
HC0092
NC
253Z00000X
In Home Supportive Care Agency
HC0092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418977
—
NC
05
—
6602189
—
NC
05
—
7100661
—
NC
Enumeration date
10/05/2010
Last updated
05/08/2019
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