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PROFESSIONAL CARE HOME HEALTH SERVICES NPI 1972656825


NPI Information

NPI: 1972656825
Provider Name: PROFESSIONAL CARE HOME HEALTH SERVICES
Classification: Nurse's Aide - 376K00000X
Entity Type: Organization
Address:
2070 CLOVERDALE AVE.
SUITE C
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 725-0755
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PROFESSIONAL CARE HOME HEALTH SERVICES is a nurses aide in Winston-salem, NC. The provider is (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. PROFESSIONAL CARE HOME HEALTH SERVICES NPI is 1972656825. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2070 CLOVERDALE AVE.
SUITE C
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 725-0755

The provider's authorized official is Teresia Medley .
The authorized official title is Administrator and has the following contact phone number (336) 725-0755.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.


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
1376K00000XNurse's AideNORTH CAROLINAYes

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
13408355MEDICAIDNORTH 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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