Healthcare Provider Details

I. General information

NPI: 1659792869
Provider Name (Legal Business Name): HIGH CALLING HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2013
Last Update Date: 12/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6205 FARRINGTON RD APT G4
CHAPEL HILL NC
27517-7845
US

IV. Provider business mailing address

6205 FARRINGTON RD APT G4
CHAPEL HILL NC
27517-7845
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-4343
  • Fax: 919-942-4338
Mailing address:
  • Phone: 919-942-4343
  • Fax: 919-942-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC4142
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC4142
License Number StateNC

VIII. Authorized Official

Name: MR. KIRK SUTTON
Title or Position: OWNER
Credential: CSA
Phone: 919-942-4343