MGA HOME HEALTHCARE FAYETTEVILLE LLC NPI 1659950442

NPI Information

MGA HOME HEALTHCARE FAYETTEVILLE, LLC is a nursing care in Raleigh, NC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. MGA HOME HEALTHCARE FAYETTEVILLE, LLC NPI is 1659950442. The provider is registered as an organization entity type.
The provider Is Doing Business As Mga Homecare.

The provider's business location address is:

4700 HOMEWOOD CT STE 310
RALEIGH, NC
ZIP 27609-732
Phone: (919) 241-7781

The provider's authorized official is Melody Beaty .
The authorized official title is Vp Clinical Operations and has the following contact phone number (704) 200-9015.

The CLIA number assigned to this NPI record is 34D2273532 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 11/30/2023.

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:

Other Identifiers

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

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