Geroldine Locklear

Organization Active NPI Home Health Agency · Maxton, NC

NPI 1295919348 · NPPES record last updated Sep 15, 2008

Key facts

NPI
1295919348
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HC3118 (NC)
Legal business name
GEROLDINE LOCKLEAR
Practice address
603 W MLK Jr Dr
Maxton, NC 28364-1845
Phone
(910) 844-7049
Fax
(910) 844-7049
NPI assigned
Dec 26, 2007
Organization subpart
No

Authorized official

Name
Geroldine Locklear
Title
Owner/Administrator
Phone
(910) 844-7049

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Geroldine Locklear (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3118 NC Yes

Addresses

Primary practice location

603 W MLK Jr Dr
Maxton, NC 28364-1845

Mailing address

603 W MLK Jr Dr
Trinity Home Care of Robeson County
Maxton, NC 28364-1845
Phone (910) 844-7049

Other identifiers

IdentifierTypeStateIssuer
3418025MedicaidNC

Other names

  • Trinity Home Care Of Robeson County Doing business as

Other providers in Maxton, NC

All providers in Maxton, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.