Healthcare Provider Details

I. General information

NPI: 1568327070
Provider Name (Legal Business Name): MAXIMUS WON CARE CONSULTING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13534 PLAZA ROAD EXT STE 129
CHARLOTTE NC
28215-8921
US

IV. Provider business mailing address

5611 HAMMERMILL DR
HARRISBURG NC
28075-3933
US

V. Phone/Fax

Practice location:
  • Phone: 336-225-6912
  • Fax:
Mailing address:
  • Phone: 336-225-6912
  • Fax: 336-225-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: FATIMA CROWE
Title or Position: OWNER
Credential: RN
Phone: 336-225-6912