Provider Demographics
NPI:1932227808
Name:EASTERN CAROLINA HOME HEALTHCARE
Entity type:Organization
Organization Name:EASTERN CAROLINA HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTSON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:919-345-1589
Mailing Address - Street 1:PO BOX 402
Mailing Address - Street 2:
Mailing Address - City:BAYBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28515-0402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13548 HWY 55 EAST
Practice Address - Street 2:SUITE B
Practice Address - City:BAYBORO
Practice Address - State:NC
Practice Address - Zip Code:28515-0402
Practice Address - Country:US
Practice Address - Phone:252-745-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2436311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409614Medicaid