Healthcare Provider Details

I. General information

NPI: 1639494529
Provider Name (Legal Business Name): HOMECARE MANAGEMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SHADOWLINE DR SUITE 203
BOONE NC
28607-5089
US

IV. Provider business mailing address

315 WILKESBORO BLVD NE SUITE 2A
LENOIR NC
28645-4498
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-1021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: RANKIN WHITTINGTON
Title or Position: PRESIDENT/CEO
Credential:
Phone: 828-754-3665