MEDICARE: CAROLINAS MEDICAL CENTER AT HOME LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1881449411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINAS MEDICAL CENTER AT HOME LLC

Provider Business Mailing Address
First Line	:	PO BOX 602262
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2262
Country	:	US
Telephone Number	:	704-512-2310
Fax Number	:	704-512-2339

Provider Business Practice Location Address
First Line	:	1701B ABBEY PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3733
Country	:	US
Telephone Number	:	704-512-6070
Fax Number	:	704-512-6092

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL ANTHONY STOLZENBACH
Credential	:
Telephone Number	:	704-591-2576

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	12/03/2025

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