Avenue Homecare, Inc.

LBN: Avenue Homecare, Inc.
Avenue Homecare, Inc. is an health care organization with primary practice located at 1511 E 7Th St , Charlotte NC 28204-2409. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Avenue Homecare, Inc. can be contacted via phone (704) 971-2800, or through Brock, Serena Lynn via phone (704) 971-2817.

Contact Information

Primary practice address
1511 E 7Th St Charlotte NC 28204-2409
Phone: (704) 971-2800
Fax: (704) 527-6616
Website:
Map and Directions
Authorized official contact:
Name: Brock, Serena Lynn
Phone: (704) 971-2817

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC2494 North Carolina

Profile Details

NPI number 1992705685
LBN Legal business name Avenue Homecare, Inc.
DBA Doing business as
Authorized official Brock, Serena Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992705685 NPPES
North Carolina MEDICAID 6601048
North Carolina MEDICAID 7100519
North Carolina MEDICAID 3409669

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