MEDICARE: MAXIMUS WON CARE CONSULTING 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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1568327070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXIMUS WON CARE CONSULTING SERVICES, LLC

Provider Business Mailing Address
First Line	:	5611 HAMMERMILL DR
Second Line	:
City	:	HARRISBURG
State	:	NC
Zip	:	28075-3933
Country	:	US
Telephone Number	:	336-225-6912
Fax Number	:	336-225-6912

Provider Business Practice Location Address
First Line	:	13534 PLAZA ROAD EXT STE 129
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-8921
Country	:	US
Telephone Number	:	336-225-6912
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FATIMA CROWE
Credential	:	RN
Telephone Number	:	336-225-6912

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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