Healthcare Provider Details

I. General information

NPI: 1265355515
Provider Name (Legal Business Name): TAKE A STANCE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W 4TH ST STE 205
CHARLOTTE NC
28202-1545
US

IV. Provider business mailing address

227 W 4TH ST STE 205
CHARLOTTE NC
28202-1545
US

V. Phone/Fax

Practice location:
  • Phone: 704-201-2340
  • Fax:
Mailing address:
  • Phone: 704-201-2340
  • 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: LAURIE M BENTLEY
Title or Position: DIRECTOR
Credential: RN
Phone: 704-201-2340