Provider Demographics
NPI:1215764253
Name:FTH LOGISTICS CORPORATION
Entity type:Organization
Organization Name:FTH LOGISTICS CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STAFFING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DEMERIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, OT, PT
Authorized Official - Phone:336-255-2504
Mailing Address - Street 1:628 WILLIAM HOOPER CIR # 628
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-7657
Mailing Address - Country:US
Mailing Address - Phone:336-255-2504
Mailing Address - Fax:919-238-6742
Practice Address - Street 1:628 WILLIAM HOOPER CIR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-7657
Practice Address - Country:US
Practice Address - Phone:336-255-2504
Practice Address - Fax:919-238-6742
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FTH LOGISTICS CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-16
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347E00000XTransportation ServicesTransportation Broker
No385H00000XRespite Care FacilityRespite Care