MEDICARE: CONE HOME CARE SYSTEMS, 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	251E00000X	Home Health Agency	HC3216	NC

General Provider Information

NPI Number	:	1932346640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONE HOME CARE SYSTEMS, LLC

Provider Business Mailing Address
First Line	:	301 N ELM ST
Second Line	:	SUITE 236
City	:	GREENSBORO
State	:	NC
Zip	:	27401-2083
Country	:	US
Telephone Number	:	336-397-0091
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 N MAIN ST
Second Line	:	SUITE 2501
City	:	WINSTON SALEM
State	:	NC
Zip	:	27101-3836
Country	:	US
Telephone Number	:	336-397-0091
Fax Number	:

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	MRS. MICHELLE MCLAIN
Credential	:
Telephone Number	:	336-397-0091

Provider Enumeration Date	:	01/16/2009
Last Update Date	:	01/16/2009

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