Healthcare Provider Details

I. General information

NPI: 1750517108
Provider Name (Legal Business Name): CAROLINAS MEDICAL CENTER AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 ABBEY PL
CHARLOTTE NC
28209-3733
US

IV. Provider business mailing address

PO BOX 602262
CHARLOTTE NC
28260-2262
US

V. Phone/Fax

Practice location:
  • Phone: 704-512-5333
  • Fax: 704-561-8580
Mailing address:
  • Phone: 704-512-5333
  • Fax: 704-561-8580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number10319
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ANTHONY STOLZEBACH
Title or Position: PRESIDENT
Credential:
Phone: 704-591-2576