Healthcare Provider Details

I. General information

NPI: 1891227922
Provider Name (Legal Business Name): REMEDI SENIORCARE OF CHARLOTTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7504 E INDEPENDENCE BLVD SUITE 112
CHARLOTTE NC
28227-9472
US

IV. Provider business mailing address

1 OLYMPIC PL STE 600
TOWSON MD
21204-4110
US

V. Phone/Fax

Practice location:
  • Phone: 844-312-3649
  • Fax: 844-649-6019
Mailing address:
  • Phone: 443-927-8403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. MELANIE GREAVER
Title or Position: DIRECTOR OF LICENSING
Credential:
Phone: 443-632-1208