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PROFESSIONAL CARE HOME HEALTH NPI 1417193855


NPI Information

NPI: 1417193855
Provider Name: PROFESSIONAL CARE HOME HEALTH
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3137 AMITY COURT
SUITE 400
CHARLOTTE, NC
ZIP 28215
Phone: (704) 536-7326
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PROFESSIONAL CARE HOME HEALTH is a durable medical equipment medical supplies in Charlotte, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROFESSIONAL CARE HOME HEALTH NPI is 1417193855. The provider is registered as an organization entity type.

The provider's business location address is:

3137 AMITY COURT
SUITE 400
CHARLOTTE, NC
ZIP 28215-765
Phone: (704) 536-7326
Fax: (704) 536-7147

The provider's authorized official is Teresia Medley .
The authorized official title is Administrator and has the following contact phone number (704) 536-7326.

The enumeration date for this NPI number is 1/6/2009 and was last updated on 1/6/2009.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1123456789MEDICAIDNORTH CAROLINA

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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