Provider Demographics
NPI:1386761427
Name:EISHMAN HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:EISHMAN HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:DOSSIE
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-378-0524
Mailing Address - Street 1:308 S ELM ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2645
Mailing Address - Country:US
Mailing Address - Phone:336-378-0524
Mailing Address - Fax:336-378-0462
Practice Address - Street 1:308 S ELM ST
Practice Address - Street 2:SUITE A
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2645
Practice Address - Country:US
Practice Address - Phone:336-378-0524
Practice Address - Fax:336-378-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409255Medicaid