Healthcare Provider Details

I. General information

NPI: 1053859488
Provider Name (Legal Business Name): AA PLUS FAMILY CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 02/11/2023
Certification Date: 02/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10331 TURKEY POINT DR
CHARLOTTE NC
28214-1618
US

IV. Provider business mailing address

10331 TURKEY POINT DR
CHARLOTTE NC
28214-1618
US

V. Phone/Fax

Practice location:
  • Phone: 704-249-7436
  • Fax:
Mailing address:
  • Phone: 704-249-7436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberHC4840
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHC4840
License Number StateNC

VIII. Authorized Official

Name: MR. KENNETH LEE FRIDAY
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 704-249-7439