Organization
HEARTHSIDE HOME CARE INC
Active
Parent organization
HEARTHSIDE HOME CARE INC.
Other names
FirstLight Home Care of Guilford, First Light Home Care of Jacksonville
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTHSIDE HOME CARE INC.
Authorized official
TINA GLENN (PRESIDENT)
(336) 455-3176
Entity
Organization
Contact information
Practice address
308 POMONA DR STE JKL, GREENSBORO, NC 27407-1665
(336) 808-1351
Mailing address
308 POMONA DR STE JKL, GREENSBORO, NC 27407-1665
(336) 808-1351
(336) 808-1458
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC1843
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409219
—
NC
Enumeration date
09/26/2006
Last updated
06/13/2024
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