Healthcare Provider Details

I. General information

NPI: 1780040584
Provider Name (Legal Business Name): BEST HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2016
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 SE MAYNARD RD
CARY NC
27511-5718
US

IV. Provider business mailing address

3505 BOREN CT
RALEIGH NC
27616-8965
US

V. Phone/Fax

Practice location:
  • Phone: 919-946-3940
  • Fax:
Mailing address:
  • Phone: 919-946-3940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHIKA PETRONILLA NWANEDO
Title or Position: DIRECTOR
Credential: RN
Phone: 919-946-3940