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PROFESSIONAL CARE HOME HEALTH SERVICES NPI 1245482603


NPI Information

NPI: 1245482603
Provider Name: PROFESSIONAL CARE HOME HEALTH SERVICES
Classification: Nursing Care - 251J00000X
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 nursing care in Winston-salem, 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. PROFESSIONAL CARE HOME HEALTH SERVICES NPI is 1245482603. The provider is registered as an organization entity type.

The provider's business location address is:

2070 CLOVERDALE AVE
SUITE C
WINSTON-SALEM, NC
ZIP 27103-503
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 (704) 536-7326.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/16/2008.


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
1251J00000XNursing CareYes

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
15555555OTHERDME-WINSTON-SALEM

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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