Provider Demographics
NPI:1063171775
Name:GUIDING ONE PERSONAL CARE SERVICES
Entity type:Organization
Organization Name:GUIDING ONE PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LATRICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-724-2372
Mailing Address - Street 1:102 E GRANVILLE ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:NC
Mailing Address - Zip Code:27983-6752
Mailing Address - Country:US
Mailing Address - Phone:252-724-2372
Mailing Address - Fax:
Practice Address - Street 1:102 E GRANVILLE ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983-6752
Practice Address - Country:US
Practice Address - Phone:252-724-2372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite CareGroup - Single Specialty
No251J00000XAgenciesNursing Care
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty