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FIRST LIGHT HOME CARE OF JACKSONVILLE
NPI 1205937851
In Home Supportive Care in Greensboro, NC

Active since September 26, 2006
308 POMONA DR STE JKL, GREENSBORO, NC 27407(336) 808-1351 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Jul 14, 2022, Jul 6, 2022 (3 updates tracked since 2022).

About First Light Home Care Of Jacksonville NPPES

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

FIRST LIGHT HOME CARE OF JACKSONVILLE (NPI 1205937851) is a healthcare organization registered as an in home supportive care in Greensboro, North Carolina and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Jacksonville and lists Tina Glenn, President, as its authorized official.

NPPES Registry Identity

NPI1205937851
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameHEARTHSIDE HOME CARE INC
Location Address308 POMONA DR STE JKLGreensboro, NC 27407-1665
Mailing Address308 Pomona Dr Ste JklGreensboro, NC 27407-1665 · (336) 808-1351 · Fax (336) 808-1458
Phone(336) 808-1351
Organization SubpartYesParent: Hearthside Home Care Inc.
Authorized OfficialTina GlennPresident · (336) 455-3176
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1205937851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
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.
Also ListedHome HealthTaxonomy 251E00000X · License HC1843 (NC)
308 POMONA DR STE JKL, Greensboro, NC 27407
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Other Names 2

Doing Business AsFirst Light Home Care Of Jacksonville
Doing Business AsFirstlight Home Care Of Guilford

Secondary Practice Location 1

Location 199 Village Dr Ste 13Jacksonville, NC 28546-7071 · Phone (910) 939-0695

Other Identifiers 1

Medicaid3409219NC

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 Hearthside Home Care Inc's NPI number?

The NPI number for Hearthside Home Care Inc is 1205937851. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as First Light Home Care Of Jacksonville and FirstLight Home Care of Guilford.

Where is Hearthside Home Care Inc located?

Hearthside Home Care Inc is located at 308 Pomona Dr Ste Jkl, Greensboro, NC 27407. The listed phone number is (336) 808-1351.

What is Hearthside Home Care Inc's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Hearthside Home Care Inc was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.