Healthcare Provider Details

I. General information

NPI: 1568011674
Provider Name (Legal Business Name): AROUND THE CLOCK HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 EASTWAY DR SUITE 202
CHARLOTTE NC
28205
US

IV. Provider business mailing address

3125 EASTWAY DR STE 202
CHARLOTTE NC
28205-5643
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 704-890-3133
  • Fax: 704-727-5969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHESTINE JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 704-890-3133