MEDICARE: INNER PEACE HOME CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1184579195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER PEACE HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	10544 BARVAS ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1524
Country	:	US
Telephone Number	:	704-223-5822
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 E INDEPENDENCE BLVD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-5400
Country	:	US
Telephone Number	:	980-266-5218
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NEERICA S LITTLE
Credential	:
Telephone Number	:	704-223-5822

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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