Providence Home Healthcare Company

LBN: Providence Home Healthcare Company
Providence Home Healthcare Company is an health care organization with primary practice located at 530 E Central Ave , Mount Holly NC 28120-2117. The organization recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as the primary health care specialty. Providence Home Healthcare Company can be contacted via phone (704) 827-0037, or through Gutierrez, Rolando via phone (704) 827-0037.

Contact Information

Primary practice address
530 E Central Ave Mount Holly NC 28120-2117
Fax: (877) 582-3818
Website:
Authorized official contact:
Name: Gutierrez, Rolando

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X HC3882 North Carolina

Profile Details

NPI number 1861725749
LBN Legal business name Providence Home Healthcare Company
DBA Doing business as
Authorized official Gutierrez, Rolando
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2009
Last updated Sep 10th, 2009 - about 15 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 1861725749 NPPES
North Carolina MEDICAID HC3882

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