MEDICARE: AVID HEALTH AT HOME NORTH CAROLINA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency
3	385H00000X	Respite Care
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1225533714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVID HEALTH AT HOME NORTH CAROLINA

Provider Business Mailing Address
First Line	:	1508 MILITARY CUTOFF RD STE 304
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-5730
Country	:	US
Telephone Number	:	910-338-5416
Fax Number	:	910-362-9948

Provider Business Practice Location Address
First Line	:	2640 WILLARD DAIRY RD STE 106
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8709
Country	:	US
Telephone Number	:	919-948-3277
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JENNIFER LENTZ
Credential	:
Telephone Number	:	910-728-4668

Provider Enumeration Date	:	03/27/2018
Last Update Date	:	05/29/2026

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