Provider Demographics
NPI:1578500757
Name:ALEXANDER COUNTY HOME HEALTH A GENCY
Entity type:Organization
Organization Name:ALEXANDER COUNTY HOME HEALTH A GENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHISNANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-632-9704
Mailing Address - Street 1:338 1ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-2483
Mailing Address - Country:US
Mailing Address - Phone:828-632-9704
Mailing Address - Fax:828-632-1109
Practice Address - Street 1:338 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-2483
Practice Address - Country:US
Practice Address - Phone:828-632-9704
Practice Address - Fax:828-632-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0476251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0497GOtherBCBS INFUSION