Healthcare Provider Details

I. General information

NPI: 1205767357
Provider Name (Legal Business Name): BEST QUALITY HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 S TRYON ST STE 1857
CHARLOTTE NC
28202-5001
US

IV. Provider business mailing address

128 S TRYON ST STE 1857
CHARLOTTE NC
28202-5001
US

V. Phone/Fax

Practice location:
  • Phone: 347-681-6453
  • Fax:
Mailing address:
  • Phone: 347-681-6453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NATAVAN REZAKOVA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 347-681-6453