Healthcare Provider Details

I. General information

NPI: 1518681477
Provider Name (Legal Business Name): MOBILE HEALTHCARE BY GERMAIN HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 JAY THOMAS DR
CHAPEL HILL NC
27517-7334
US

IV. Provider business mailing address

1021 JAY THOMAS DR
CHAPEL HILL NC
27517-7334
US

V. Phone/Fax

Practice location:
  • Phone: 919-537-6352
  • Fax:
Mailing address:
  • Phone: 919-537-6352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN FREDERICK GERMAIN JR.
Title or Position: CEO
Credential: RN
Phone: 919-537-6352