Provider Demographics
NPI:1720431083
Name:HAMILTON HOME HEALTH AGENCY,LLC
Entity type:Organization
Organization Name:HAMILTON HOME HEALTH AGENCY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARANGERENE
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:HAMILTON-GREGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-682-7762
Mailing Address - Street 1:3024 ROUSE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-8321
Mailing Address - Country:US
Mailing Address - Phone:910-682-7762
Mailing Address - Fax:910-758-9879
Practice Address - Street 1:3024 ROUSE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8321
Practice Address - Country:US
Practice Address - Phone:910-682-7762
Practice Address - Fax:910-758-9879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health