Provider Demographics
NPI:1306943329
Name:PIEDMONT HOMEHEALTH, INC.
Entity type:Organization
Organization Name:PIEDMONT HOMEHEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:COIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-724-1197
Mailing Address - Street 1:2160B COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-4208
Mailing Address - Country:US
Mailing Address - Phone:336-724-1197
Mailing Address - Fax:336-724-1196
Practice Address - Street 1:2160B COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-4208
Practice Address - Country:US
Practice Address - Phone:336-724-1197
Practice Address - Fax:336-724-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1107251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC1107OtherSTATE HOME CARE LICENSE