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Contact Information

AGELESS HEART HEALTHCARE, INC
708 S 13TH ST
ERWIN, NC28339-2634
 Phone: 910-292-0173
 Fax: 910-292-0174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for AGELESS HEART HEALTHCARE, INC

NPI Number 1225343395
LBN Legal business name AGELESS HEART HEALTHCARE, INC
Authorized official JOHNATHAUN LEE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2010
Last updated 06/14/2013 - About 13 years ago
Identifiers
NC License # HC2965
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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