Provider Demographics
NPI:1194590745
Name:HHC INTEGRATED CLIENT SERVICES LLC
Entity type:Organization
Organization Name:HHC INTEGRATED CLIENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA-R, CMA
Authorized Official - Prefix:MS
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:VIVIAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CNA-R, CMA
Authorized Official - Phone:336-254-5118
Mailing Address - Street 1:3206 BERNARD STREET
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-3724
Mailing Address - Country:US
Mailing Address - Phone:336-254-5118
Mailing Address - Fax:336-763-3653
Practice Address - Street 1:3206 BERNARD STREET
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-3724
Practice Address - Country:US
Practice Address - Phone:336-254-5118
Practice Address - Fax:336-763-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care