HAZEL FORMAN
NPI 1205428992
Contractor - Home Modifications in Greensboro, NC

Q: What is Hazel Forman's NPI number?

The NPI number for Hazel Forman is 1205428992. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Q: What is Hazel Forman's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

Q: When was this NPI record last updated?

The NPPES record for Hazel Forman was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2021

1200 MOODY ST, GREENSBORO, NC 27401(336) 860-4060(336) 937-9157 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2022, Feb 4, 2021 (2 updates tracked since 2021).

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About Hazel Forman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZEL FORMAN (NPI 1205428992) is an individual home modifications provider in Greensboro, North Carolina, licensed in North Carolina (FCL-041-082) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1205428992

Entity TypeIndividualFemale

Primary Taxonomy171WH0202X

Provider Legal NameHAZEL FORMAN

Location Address1200 MOODY STGreensboro, NC 27401-4217

Mailing Address1200 Moody StGreensboro, NC 27401-4217 · (336) 709-6601 · Fax (336) 937-9157

Phone(336) 860-4060

Fax(336) 937-9157

Sole ProprietorNo

Enumeration DateFebruary 4, 2021

Last NPPES UpdateMay 12, 20222 updates tracked since enumeration

NPPES CertifiedMay 12, 2022

✔ NPI 1205428992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyContractor · Home ModificationsOther Service Providers

Taxonomy Code171WH0202X

Licenses✔ Licensed in NC · FCL-041-082✔ Licensed in NC · FCL-041-081

Definition

A contractor who makes modifications to homes to accommodate a health condition.

Also ListedNursing Home AdministratorTaxonomy 376G00000X

1200 MOODY ST, Greensboro, NC 27401

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazel Forman's NPI number?

The NPI number for Hazel Forman is 1205428992. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Hazel Forman located?

Hazel Forman practices at 1200 Moody St, Greensboro, NC 27401. The listed phone number is (336) 860-4060.

What is Hazel Forman's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Hazel Forman was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.