Provider Demographics
NPI:1871790139
Name:CONTINUUM II HOME HEALTH & HOSPICE, INC.
Entity type:Organization
Organization Name:CONTINUUM II HOME HEALTH & HOSPICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GALE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-523-9094
Mailing Address - Street 1:1435 HIGHWAY 258N
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-7208
Mailing Address - Country:US
Mailing Address - Phone:252-523-9094
Mailing Address - Fax:
Practice Address - Street 1:515 BARBOUR RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-7698
Practice Address - Country:US
Practice Address - Phone:919-934-6017
Practice Address - Fax:919-934-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1219251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408651Medicare ID - Type UnspecifiedCAP PROVIDER #
NC7100196Medicare ID - Type UnspecifiedPDN PROVIDER #
NC6600588Medicare ID - Type UnspecifiedPCS PROVIDER #