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Community Residential Supportive Service Home Health Inc
In Home Supportive Care Agency in Fayetteville, North Carolina
NPI 1972656577

Community Residential Supportive Service Home Health Inc is a In Home Supportive Care Agency based in Fayetteville, NC. Community Residential Supportive Service Home Health Inc practices in Fayetteville, NC. The NPI Number for Community Residential Supportive Service Home Health Inc is 1972656577 and holds a License No. HC2214 (North Carolina).

The current practice location address for Community Residential Supportive Service Home Health Inc is 2929 Breezewood Ave Ste 202, Fayetteville, NC and can be reached out via phone at 910-779-2944.

Location: 2929 Breezewood Ave Ste 202, Fayetteville, NC, 28303-5357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972656577
Provider Name
Community Residential Supportive Service Home Health Inc
Credential
Provider Entity Type
Organization
Address
2929 Breezewood Ave Ste 202, Fayetteville, NC, 28303-5357
Phone Number
910-779-2944
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6600913 05 NC
HC6832 05 NC
6600747 05 NC
HC5970 05 NC
3409290 01 NC CAP DA
6600913 01 NC CAP CH
HC1972 05 NC
HC6940 05 NC
6600913 01 NC CAP CHOICE
institution
Provider Business Practice Location Address Details
Address
2929 Breezewood Ave Ste 202
City
Fayetteville
State
North Carolina
Zip
28303-5357
Phone Number
910-779-2944
Fax Number
person
Provider Business Mailing Address Details
Address
2929 Breezewood Ave Ste 202
City
Fayetteville
State
North Carolina
Zip
28303-5357
Phone Number
910-779-2944
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
HC2214 (North Carolina)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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