Professional Care Home Health Servi

LBN: Professional Care Home Health Servi
Professional Care Home Health Servi is an health care organization with primary practice located at 2070 Cloverdale Ave Suite C, Winston-Salem NC 27103. The organization recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as the primary health care specialty. Professional Care Home Health Servi can be contacted via phone (336) 725-0755, or through Medley, Teresia via phone (336) 725-0755.

Contact Information

Primary practice address
2070 Cloverdale Ave Suite C Winston-Salem NC 27103
Phone: (336) 725-0755
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medley, Teresia MSW
Phone: (336) 725-0755

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1467505305
LBN Legal business name Professional Care Home Health Servi
DBA Doing business as
Authorized official Medley, Teresia MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 25th, 2008 - about 18 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 1467505305 NPPES
North Carolina MEDICAID 8700436

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