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TOTAL CARE HOME HEALTH OF NORTH CAROLINA LLC NPI 1386672459


NPI Information

NPI: 1386672459
Provider Name: TOTAL CARE HOME HEALTH OF NORTH CAROLINA, LLC

Doing Business As: CENTERWELL HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 34D0677051

Address:
2000 FRONTIS PLAZA BLVD STE 100A
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 497-3870
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TOTAL CARE HOME HEALTH OF NORTH CAROLINA, LLC is a home health in Winston Salem, NC. The provider is 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. TOTAL CARE HOME HEALTH OF NORTH CAROLINA, LLC NPI is 1386672459. The provider is registered as an organization entity type.
The provider Is Doing Business As Centerwell Home Health.

The provider's business location address is:

2000 FRONTIS PLAZA BLVD STE 100A
WINSTON SALEM, NC
ZIP 27103-616
Phone: (336) 497-3870

The provider's authorized official is John W Nichols .
The authorized official title is Authorized Signatory and has the following contact phone number (913) 814-2077.

The CLIA number assigned to this NPI record is 34D0677051 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 4/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13417318MEDICAIDNORTH CAROLINA
21386672459MEDICAIDNORTH CAROLINA
300782OTHERG2

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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