Provider Demographics
NPI:1063234862
Name:O-MOE HOME CARE AGENCY INC
Entity type:Organization
Organization Name:O-MOE HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-341-0203
Mailing Address - Street 1:1384 WESTGATE CENTER DR STE D
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3102
Mailing Address - Country:US
Mailing Address - Phone:336-245-8156
Mailing Address - Fax:336-842-3000
Practice Address - Street 1:1384 WESTGATE CENTER DR STE D
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3102
Practice Address - Country:US
Practice Address - Phone:336-245-8156
Practice Address - Fax:336-842-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care