Provider Demographics
NPI:1700950656
Name:BASIC HOME HEALTH CARE INC
Entity type:Organization
Organization Name:BASIC HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALSPAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-897-4794
Mailing Address - Street 1:PO BOX 2155
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28335-2155
Mailing Address - Country:US
Mailing Address - Phone:910-897-4794
Mailing Address - Fax:910-892-8715
Practice Address - Street 1:504 W BROAD ST
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334
Practice Address - Country:US
Practice Address - Phone:910-897-4794
Practice Address - Fax:910-892-8715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2230251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600879Medicaid
NC3409480Medicaid